Aetna
Aetna Enrollment change form FLORIDA" to be used in most instances, i.e. enrolling a new employee on the group, making changes to the dependent coverage, canceling coverage, address change. etc
Blue Cross and
Blue Shield
Change Form
This form allows you to make changes to an existing BCBS group policy
Frequent Used Forms for Group Plans
We represent a number of carriers for all your group benefits needs. Here are some of the most commonly requested forms depending on which insurance carrier your group is placed with. Filling out these forms on your own will help us better assist you with the various changes/ additions you need to make your group policy.
Blue Cross and
Blue Shield
Enrollment Form
This form allows you to add a new employee to an existing BCBS group policy.
Looking for forms for your Individual Policy?
Cigna
Enrollment Form/Change
This form allows you to add a new employee/or make changes to an existing Cigna group policy.
Humana
Enrollment Form
This form allows you to add a new employee to an existing Humana group policy.
Humana
Change Form
This form allows you to make changes to an existing Humana group policy.
United Healthcare
Enrollment Packet-Small Group
2-50 Employees
Use this form to add/enroll a new emoloyee to an existing United group policy with 1-50 employees.
United Healthcare
Change Form- Small Group
2-50 Employees
Use this form to make changes/cancel to enrolled employees with a United group policy with 51+ employees.
United Healthcare
Enrollment Form- Large Group
51+ Employees
Use this form to add/enroll a new emoloyee to an existing United group policy with 1-50 employees.
United Healthcare
Change Form- Large Group
51+ Employees
Use this form to make changes/cancel to enrolled employees with a United group policy with 1-50 employees.
Renaissance
Renaissance Enrollment change form is to be used in most instances, i.e. enrolling a new employee on the group, making changes to the dependent coverage, canceling coverage, address change. etc
Renaissance
Waiver Form
Renaissance Waiver form is to be used when an employee is waiving coverage.
