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SMALL GROUP
RENEWAL KIT

Small Group (1-50) Renewals

This webpage is designed to provide the most requested forms and marketing materials.
Please bookmark this site and use it for your small group renewal needs.

Key Paperwork Due Dates

Refer to this for important paperwork deadline dates for renewals, Anniversary Date, off-cycle changes or billing cycle changes.

Small Group Portfolio

Check out the product portfolio for an overview of all our small group benefit plan options.

Key Contacts

A comprehensive list of contacts for all your renewal and service questions.

Summaries of Benefits & Coverage (SBC)

Small Group Benefit Changes/Uniform Modification Notice

Changes to your group's current benefit design.

Forms

Find the most up-to-date renewal forms on Blue Access for ProducersSM

Benefit Plan Selection form (BPS)
Change, add or renew medical, dental and life plans. A BPS isn’t needed if a group renews without changes.

Benefit Program Application (BPA)
Use a BPA to update eligibility requirements or change premium periods.

Small Group Billing Method form
Submit a Small Group Billing Method Form for groups that are changing their billing method and have no other product or administrative changes. Get more details in our Small Group Billing Preferences Guide and FAQ.

Group Enrollment Application/change Form
Enroll new members or update existing memberships and plan selections.

Submit membership applications through Membership Message Center

User Guide Adobe PDF

FAQ Adobe PDF

Submit renewal paperwork through Request Center.
Request Center User Guide Adobe PDF

If you normally work with a General Agent (GA), please continue to send paperwork and inquiries to your GA, as usual.

Marketing Materials