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Health & Wellness

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Groups of 51 or More

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The following forms will assist you in your sale of BCBSGA Large Group products:  
Member Applications  
 
Member Change Forms  
 
HIPAA Forms  
 
Group Application Forms  
The “Group Master Application” form: Use this form for Group Applications for POS, POS, PPO, CMM, Dental and/or Vision coverage  
 
Miscellaneous Forms  
 
 
COBRA Forms  
Refer to the COBRA Implementation Paperwork Guide for instructions and forms  
 
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.