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Small Group Enrollment Checklist (2 to 50 Employees)
Please be sure to use our online
Small Group Enrollment Checklist
when submitting new groups.
Cut Off Submission Dates:
For new business, all Required Documents for Submittal (see Small Group Enrollment Checklist) must be received
no later than the 20th of the month
prior to the effective date.
**A 15th of the month effective date is due by the 5th of the month prior to the effective date.
Any new group package submittals received after the 20th of the month will result in the effective date being moved forward to the next available effective date.
Incomplete new group package submittals will be returned for re-submittal until all required documents are provided in a single submittal.
Inaccurate group demographic information and/or census information will result in rate discrepancies.
Inaccurate or missing group and/or member information will result in implementation delays.
If you have any questions or concerns, please contact your Sales Representative.
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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.