For Agents

General Agent Supplies

• Cobra Request
• Group Census
• Individual Census
• Individual Underwriting Guide Anthem
• Individual Underwriting Guide Humana
• Payroll Setup
• PDP Census
• WI Ap Uniform
• WI Ap Uniform Instructions
• WI Ap Uniform Waiver

Group

Anthem

• Checklist
• Large Group Employer Application
• Employer Application
• Large Group Employee Application
• Employee Application
• Rate Renewability Form
• Beneficiary Change Form
• Change Form
• Effective Before 09/01/2006
  • BX Waiver Form
  • BX Change Form GPS
  • BX Employee Application Groups

Humana

• Check List 2-50
• Employer Group Application
• Employee Application 2-9
• Employee Application 10-50
• Dependent Information Form
• Rate and Renewability Form
• Change Form