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Health Plan Options
 
 
REVISIONS TO SMALL GROUP CHECKLIST NOW AVAILABLE!
Effective July 1, 2020, you should begin utilizing the newly revised Small Group forms. 

Updated forms include:
  • Act 4
  • Authorization to Cancel Highmark Small Business Coverage
  • Certification of Eligibility to Combine and Employer Group Size
  • Client Letter Template
  • Disability Verification form
  • Domestic Partner Affidavit
  • General Updates for Small Group Form
  • Highmark Enrollment/Waiver Form
  • Small Group Business Application 
  • Sold Group Checklist
You can view a more detailed version of the revisions, here. 

You can access the new western Pa Small Group Checklist here.

If you have any questions, please contact your Highmark Small Group Sales Executive or Client Manager.

Please share this information with your sub-agents by forwarding this email, posting this content to your internal website, or copying and pasting the text into another format. 
 
 
Insurance and/or benefit administration may be provided by Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, all of which are independent licensees of the Blue Cross and Blue Shield Association.
 
 
 

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