Blue Cross Blue Shield Forms File Type View File Download File
Employee Enrollment/Change Form*
Use this form to enroll or make changes to your BC/BS. Submit completed file to the business office.
.pdf
BC/BS Summary of Benefits
For a complete description of benefits, please refer to your insurance booklet.
.pdf
FAQ Anywhere
Frequently asked questions answered anywhere, anytime.
.doc
Welcome to Blue Cross
Insurance information for the Blue Cross Blue Shield user.
.pdf
BC/BS Online Care Anywhere
Access health information online anywhere.
.pdf
Cobra Booklet Information
Cobra Information
.pdf
Cobra Notification
Cobra Notification Form
.doc
COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN Booklet
.pdf
SBC VEBA BC/BS 9/1/14
.pdf
International Claim Form
The Blue Cross Blue Shield Global Core International Claim Form is to be used to submit institutional and professional claims for benefits for covered services received outside the United States, Puerto Rico and the U.S. Virgin Islands.
.pdf
Traveling Abroad
Healthcare coverage when you are traveling or living abroad
.pdf