Documents

Document name
Description
Last update date
Download
Employer Enrollment Doc Fillable

Complete 2026 Proposal Including All Supplemental Details

March 9, 2026
Download
2026 XGB Proposal with Supplements (FOR PRINT)

Complete 2026 Proposal Including All Supplemental Details

March 9, 2026
Preview
2026 XGB Group Proposal (Full with Supplemental Items)

Complete 2026 Proposal Including All Supplemental Details

March 9, 2026
Download
2026 XGB Group Proposal

Complete 2026 Proposal Including All Supplemental Details

March 19, 2026
MM SOBs
Document name
Description
Last update date
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XGB Census

Complete 2026 Proposal Including All Supplemental Details

March 9, 2026
Visit Limit (VL) SOBs
Document name
Description
Last update date
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VL 1000
March 9, 2026
Helpful Documents
Document name
Description
Last update date
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Draft Agent Recruiting Email Example

Complete 2026 Proposal Including All Supplemental Details

March 16, 2026
Document Submission Instructions
Please submit Employer Enrollment Doc, Employee Enrollment Form (Elections/Waivers), Census w/elections, and New Agent Set Up Form to:
For Cigna Provider:
Click:
Find a Doctor, Zip Code, Doctor, Guest
Select:
PPO, Choice Fund PPO
For PHCS Provider:
Click:
PHCS Extended PPO
For PHCS Provider:
Search to go:
Click:
Access my BCBS Benefits, Find a Doctor, In the United States, Puerto Rico and U.S. Virgin Islands, Choose Location, Type VMA for the three letter prefix.
Enrollment deadline is the 15th of the month for next month's 1st of month effective dates!
**One network allowed for groups under 100 employees enrolled**