For Employers: Plan Forms and Documents

Use this guide to find and understand important information about your group coverage with Blue Cross Blue Shield of Michigan or Blue Care Network.

At no added cost, your medical plan includes programs designed to address the total cost of care while focusing on your whole health.

HMO value plus flexible provider choice with Blue Elect Plus℠ POS, Blue Elect Plus HRA℠ POS and Blue Elect Plus HSA℠ POS.

Healthy Blue Living is a health care plan that rewards members with lower out-of-pocket costs for taking steps to improve their health.

Help your employees learn how they can save on premiums and be proactive about their care.

Blue Care Network HSA health plans are smart, practical solutions to cover your employees at a cost that fits your budget while still providing unmatched value.

These conditions and instructions will help employees enroll in a new plan or change to a different one.

If you're enrolling a Spanish-speaking member, this is the form you'll need to enroll them in a new plan or change an existing one.

If an employee wants to waive coverage, they'll need to read and fill out this form.

If you have a Spanish-speaking employee who wants to waive their coverage, have them return this form.

This form is for Self-Funded ERISA and Self-Funded non-ERISA groups to fill out for payment exceptions.

This reference guide provides valuable information to help you administer Healthy Blue Living and answer questions your employees may have.

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This compliance confirmation is a detailed description of the requirements for health insurance issuers. Read more to find out the importance of compliance and what is required.

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Blue Cross/BCN is providing an attestation to the fully insured group’s fiduciary as a reference during their certification upon request of the federal government.

Employers can make automatic payments to Blue Cross after filling out and returning this form.

Find out what the requirements are for enrollment in the BCBSM Agent Fee payment process.

Read and fill out this form for BCBSM agent fee processing.

Find out what the requirements are for enrollment in the BCN agent fee payment process.

Read and fill out this form for BCN agent fee processing.

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Read our fourth quarter policy updates in our latest newsletter.

Find out which policy updates occurred in the third quarter.

Take a look at our second quarter policy updates.

Find out what was updated in the first quarter.