Get Producer/employer New Business Checklist - Blue Cross And Blue ...

Filling out the Producer/Employer New Business Checklist is an essential step to ensure your group enrollment is processed efficiently by Blue Cross and Blue Shield of Illinois (BCBSIL). This guide offers clear instructions to help users complete the form online, ensuring no critical details are overlooked.

Follow the steps to successfully complete the checklist.

1. Click ‘Get Form’ button to access the Producer/Employer New Business Checklist and open it in your online editor.
2. Fill in your contact information at the top of the form, including your email address and phone number, to ensure BCBSIL can reach you easily.
3. Input the proposal number from your quote in the designated field.
4. Assemble the required documents to submit along with the checklist. This includes your binder check, Benefit Program Application, Addendum if applicable, and any necessary enrollment forms.
5. Complete the Benefit Program Application (BPA), ensuring all required information is filled out, including your printed name and signature.
6. If needed, complete the Addendum to the BPA Regarding Affiliated Companies for multi-employer coverage.
7. Complete the Benefit Plan Selection Form (BPS) and any additional forms necessary for your group’s specific needs.
8. Prepare the Employer’s Contribution and Wage Report (form UI-3/40) for the most recent quarter, indicating the status of each employee.
9. If applicable, provide participation information through an Enrollment Spreadsheet or Universal Applications, including any required waivers.
10. Ensure that all required documents are signed and dated before submission for processing.
11. Email all completed documents to sgoesubmissions@bcbsil.com to expedite your new business processing.
12. Mail your binder check to Blue Cross and Blue Shield of Illinois at the specified address, ensuring it is sent to the attention of New Group Processing.
13. Once everything is completed and submitted, save a copy of the checklist and all submitted documents for your records.

Complete your Producer/Employer New Business Checklist online today for a smooth enrollment process.