Benefit Plan Selection Forms are needed when making a plan change; due 15 days prior to the renewal effective date. If the deadline is missed the group can still make a plan change but it is not guaranteed the effective date requested will be approved. Therefore, the plan change may be applied to the month following the requested date.
Employee Application will be required for any employees changing plans; include page 3 for any employees joining for open enrollment. Medicare Secondary Payer Form is required upon renewing with BCBS. Please fax to our office at 847.605.1494 for proper processing.
