Product portfolios and brochures
Product Portfolios
2024
2023
Benefit Changes
2024
2023
Vision and Dental Resources
2024
- 2024 Small Group Blue Edge Dental Brochure (July-December)
- 2024 Small Group Pediatric Dental and Vision Brochure
- Blue Edge Vision Plans (2024)
- Blue Edge Dental Rate Card 1-50 (January-June 2024)
2023
Applications, Waivers, Affidavits
- Small Group HRA Application
- Small Group Business Application (SGBA)
- Enrollment/Waiver Form
- Start-Up Business Affidavit
- Disability Verification Form
- Disabled Dependent Certification
- Affidavit of Common Law Marriage
- Domestic Partner Affidavit
- New Employee Affidavit
- Certification of Eligibility to Combine and Employer Group Size