Get Anthem 2 50 Existing Small Group Addition Form

Completing the Anthem 2 50 Existing Small Group Addition Form is a crucial step in ensuring you access the health coverage you need. This guide provides clear instructions on how to accurately fill out the form online, ensuring your submission is complete and timely.

Follow the steps to successfully complete your online form

1. Press the ‘Get Form’ button to retrieve the Anthem 2 50 Existing Small Group Addition Form and open it in your preferred online editor.
2. Identify the Group Number and fill it in the designated field.
3. In Section 1, choose your preferred Medical Coverage options based on available plans as directed by your employer. Ensure you mark your selection clearly.
4. Proceed to Section 1b for Dental Coverage, where you will select options that your employer has provided and specify any required networks.
5. Next, complete Section 1c regarding Vision Coverage, choosing options available through your employer.
6. In Section 1d, note your selections for Life Coverage and indicate the desired coverage amounts.
7. In Section 2, provide your enrollment information. Mark whether this is a new group enrollment, family addition, or another situation, and include all personal details requested.
8. Section 3 asks for details about you and your dependents. Fill in all required fields, including names, relationships, and any health insurance information.
9. Section 4 allows you to decline coverage if necessary, specifying which coverage you are declining and your reason for doing so.
10. In Section 5, answer all health questionnaire questions honestly. This section is vital for assessing coverage eligibility.
11. If applicable, complete Sections 5A and 6 regarding your health history and any current insurance coverage.
12. Finally, review all provided information for accuracy, sign the application, and confirm the date. Once complete, save your changes and download or print the form for submission.

Complete your Anthem 2 50 Existing Small Group Addition Form online today to ensure your health coverage is in place.