Looking for forms for your Individual 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.

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

Cigna
Enrollment Form/Change
This form allows you to add a new employee/or make changes to an existing Cigna group policy.

 

Blue Cross and
Blue Shield
Enrollment Form
This form allows you to add a new employee to an existing BCBS group policy.

 

Blue Cross and
Blue Shield
Change Form
This form allows you to make changes to an existing BCBS 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.

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