Employer Documents

Group Administrator Manual – Download and/or print this handy reference tool for information on enrollment, billing, membership changes and other day-to-day administrative concerns.

EmployerAccess Demo – A great overview of our enhanced employer website that can help you save time, reduce errors and get quick, convenient access to enrollment benefits.

EmployerAccess website – See how you can pay your bills, handle employee transactions and a whole lot more! It’s a quicker, easier and more powerful way to manage benefits.

EmployerAccess Manual – A complete guide to our Employer Access website.

Health Care Reform Guide - There's a lot to know when it comes to the Health Care Reform law. We've created this guide to help you better understand what to expect and when to expect it.

Health Care Reform Benefit Comparison Guide - This guide explains important benefit changes following Health Care Reform law implementation as of 9/23/2010.

Employer Application

Employee Add On Application

Employee Add On Application (Spanish Version)

Employer Statement of Understanding

Chase Application/Group Initiation, Enrollment information and form – For groups that have or are selecting the PPO 2400 or 3500 plans.

Employee Information Change Form

HSA Agreement


Check-by-Fax

Conditions of Enrollment for Employer Groups Offering Seasonal Coverage

Eligibility Statement

Conditions of Enrollment for Start-Up Companies/PEO Spin-Off Groups

Health Care Reform Grandfathered Insert

Health Care Reform Non-Grandfathered Insert

Cobra/CalCobra/Medicare Part D Survey

Rapid Quote Request Form

New Business Inquiry Form

Benefit Modification Inquiry Form

Demand Debit Authorization (fillable-field)

Provider Directories

We have a number of options for our California small groups to order provider directories.

For fast, easy access to provider information, we have Provider Finder, a powerful electronic tool available online at Anthem.com/CA

You can also order provider directories from Anthem Blue Cross. To save time and paper, you can have your custom provider directories sent quickly via e-Delivery or you can order printed copies. Contact Enrollment and Billing at 800-627-8797 to place your request.

 


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Health care plans provided by Anthem Blue Cross. Insurance plans provided by Anthem Blue Cross Life and Health Insurance Company. Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensees of the Blue Cross Association. ® ANTHEM is a registered trademark. ® The Blue Cross name and symbol are registered marks of the Blue Cross Association.