For Your Business
Connect to our resources for your business to help your company and employees make the most of your health insurance and its benefits.
Forms & Resources
- Benefit Administrator’s Guide
- New Member Video
- Key Things to Know and Do
- BPC Service Setup Sheet
- SHOP Tools and Calculators
- SHOP Tools and Calculators in Spanish
- Small Group Vision Buy Up
- Small Group Dental Buy Up
- 2017 Small Group EHB Vision/Dental Public Flier
- 2017 Small Group EHB Vision/Dental Private Flier
- 2017 IA Small Group EHB Vision/Dental Private Flier
- Be Healthy Wellness Guide
- Online Premium Bill Pay Flier
- Treatment Cost Calculator Flier
- Rally Flier
- Rally Premium Flier
- Active&Fit Direct Flier
- Healthy Extras Flier
- Helping You Be Your Best Programs Flier
- Self-Funded BenefitFocus Flier
- HIPAA Authorization Form (En español)
- Why Choose a Self-Funded Plan?
- College Extended Network Program Flier
Applications
2018
- 2018 Small Group Employee Application
- 2018 WA Small Group Employee Application
- 2018 IL Small Group Exhibit B
- 2018 IL Small Group Employer Application
- 2018 IA Small Group Exhibit B
- 2018 IA Small Group Employer Application
- 2018 WA Small Group Employer Application
- Small Group Quote Checklist
- WA Small Group Quote Checklist
- 2018 Large Group and Self-Funded Employee Application
- 2018 Large Group and Self-Funded Employee Application – Fillable
- 2018 IL Large Group Exhibit B
- 2018 IA Large Group Exhibit B
- 2018 Large Group Employer Application
2017
- 2017 IL Small Group Exhibit B
- 2017 IL Small Group Employer Application
- 2017 IA Small Group Exhibit B
- 2017 IA Small Group Employer Application
- 2017 Small Group Employee Application
- Small Group Quote Checklist
- 2017 IL Large Group Exhibit B
- 2017 IA Large Group Exhibit B
- 2017 Large Group Employer Application
- 2017 Large Group and Self-Funded Employee Application
- 2017 Large Group and Self-Funded Employee Application – Fillable
- NationCare Employer Application
- NationCare Employee Application
Group Medicare
Resources
- 2018 Midwest Group Medicare Brochure
- Group Medicare Employees Flier
- 2018 IL/IN Group Medicare Plan Inserts
- 2018 Group Medicare Supplement Rates, Non-Chicago
- 2018 Group Medicare Supplement Rates, Chicago
- Choosing a Medigap Policy Booklet
- Medicare Be Healthy Wellness Guide
- 2017 IL Group Medicare Adv Combined Group Inserts