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New IBC Blue Solutions

Blue Solutions Brochure

Blue Solutions FAQ

Renewal and Savings Form-Association (effective 10-1-2011)

2012 TAI Renewal Forms

2012 IBC Small Business Product brochure

TAI Product Confirmation Form

TAI Benefit Election Form

Health Questionaire Form for Small Group Medical Underwriting

IBC Universal Application

Personal Choice Out of Network Claim Form

Flu Vaccine Reimbursement

Future Scripts RX Mail Order From (Must Complete Future Scripts Medical Questionaire)

CMS Guidelines for Medicare Concerning ESRD

CMS Guidelines for Medicare Concerning ESRD

Federal COBRA

Common COBRA Questions

Federal COBRA Overview and Model Notices

Model Notice of Extended Election Period

Mini-COBRA Employee Model Notice

Word Document

PDF

Actively Working Medicare Eligible Brochure

Mandatory CHIP Notice to Employees

CHIP Benefits Bulletin

PA Dependent Coverage to Age 30 - Information & Blue Cross Enrollment Materials

2010 IBC Small Business Product brochure

Mini-COBRA Overview (09/02/2009)

Small Group Rate & Benefit Matrix

Medicare Resource Guide 2009

IBC Flex Benefit Descriptions

IBC Flex Benefit Grid (29.6KB)

IBC High Deductible Benefit Grid (24.9 KB)

IBC Universal Enrollment Form (587KB)

IBC New Small Employer Health Benefits Application (46KB)

IBC Small Employer Certification (23KB)

Aetna Advantage Enrollment Form (453KB)

Click here to access the HIPPA Authorization Form (.14MB)

United Concordia Dependent Certification Form (685KB)

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