Group resources
Group administration
- New Enrollment/Change of Status Form (PDF #WF3599) — Use to notify BCN of membership changes.
- BCN Service Company Self Funded Group Exception Form (PDF)
Exception payment request form for self-funded ERISA and self-funded non-ERISA - Group Authorization Agreement for Automatic Payments Form (PDF #DF3848)
- Group Administrative Manual
Member publications
- BlueHealthConnection for BCN (PDF)
- Behavioral health coverage (PDF #CF9000)
- Health care coverage that travels (PDF #CF2448)
- Generic drugs save you money (PDF #CF9001)
- Outpatient rehabilitation (PDF #CF9003)
- Understanding emergency care coverage and procedures (PDF #CF5693)
- Understanding the referral process (PDF #CF5694)
- What if I need durable medical equipment or diabetic supplies? (PDF #CF10849)
- Woman's Choice program (PDF #CB10255)
- Understanding your Blue Care Network drug benefit (PDF #CF9004)
- Your primary care physician (PDF #CF5695)
You can print or save any of the documents listed. To order printed documents, complete our Group Fax on Demand Form (PDF) and fax it to the number listed.
page modified 09/23/2011