Anthem Blue Cross 51-99 Renewal Materials
Plan Change Tools

These documents will help you to make decisions on and execute changes to your plan choice.

Plan Change Request Form – “All Plans”

Plan Change Request Form – “Single or Designated”

Plan Change Request Form – “Dental ”

“How to Make Changes” Guide – A quick and easy guide for requesting health plan changes for plans.

Provider Finder – Use this link to select a new HMO plan or to find a provider.


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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.