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

Florida Blue

Enrollment Form

This form allows you to add a new employee to an existing BCBS group policy.

Florida Blue

Change Form

This form allows you to make changes to an existing BCBS group policy

United Healthcare
Enrollment Packet-Small Group
2-50 Employees
Use this form to add/enroll a
new employee 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 employee 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 and or waive 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