For Employers: Plan Forms and Documents

Looking for forms and documents? Here you'll find forms to complete enrollment, make payments and much more. We also have information to help employers, employees and agents make important decisions.

Still have questions? Contact Us

Overview of Group Blue Cross Coverage (PDF)

Use this guide to find and understand important information about your group coverage with Blue Cross Blue Shield of Michigan or Blue Care Network.

Included Programs for All Fully Insured Group Members (PDF)

At no added cost, your medical plan includes programs designed to address the total cost of care while focusing on your whole health.

Blue Elect Plus℠ point-of-service-plans decision-maker brochure (PDF)

HMO value plus flexible provider choice with Blue Elect Plus℠ POS, Blue Elect Plus HRA℠ POS and Blue Elect Plus HSA℠ POS.

Healthy Blue Living group administrator guide (PDF)

Healthy Blue Living is a health care plan that rewards members with lower out-of-pocket costs for taking steps to improve their health.

Healthy Blue Living flyer for employers (PDF)

Help your employees learn how they can save on premiums and be proactive about their care.

Blue Care Network HSA Employer Guide (PDF)

Blue Care Network HSA health plans are smart, practical solutions to cover your employees at a cost that fits your budget while still providing unmatched value.

New Enrollment and Change of Status form (PDF)

These conditions and instructions will help employees enroll in a new plan or change to a different one.

New Enrollment and Change of Status form in Spanish (PDF)

If you're enrolling a Spanish-speaking member, this is the form you'll need to enroll them in a new plan or change an existing one.

Employee Waiver form (PDF)

If an employee wants to waive coverage, they'll need to read and fill out this form.

Employee Waiver form in Spanish (PDF)

If you have a Spanish-speaking employee who wants to waive their coverage, have them return this form.

Blue Care Network Self Funded Group Exception Form (PDF)

This form is for Self-Funded ERISA and Self-Funded non-ERISA groups to fill out for payment exceptions.

Healthy Blue Living group administrative manual (PDF)

This reference guide provides valuable information to help you administer Healthy Blue Living and answer questions your employees may have.

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Blue Cross Blue Shield of Michigan and Blue Care Network Consolidated Appropriations Act Gag Clause Prohibition Compliance Certification (PDF)

This compliance confirmation is a detailed description of the requirements for health insurance issuers. Read more to find out the importance of compliance and what is required.

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Mental Health Parity and Addiction Equity Act (MHPAEA) Attestation for Group Plan Fiduciaries (PDF)

Blue Cross/BCN is providing an attestation to the fully insured group’s fiduciary as a reference during their certification upon request of the federal government.

Employer Group Authorization Agreement for Automatic Payments (PDF)

Employers can make automatic payments to Blue Cross after filling out and returning this form.

BCBSM Agent Fee Payment Process (PDF)

Find out what the requirements are for enrollment in the BCBSM Agent Fee payment process.

BCBSM Agent Fee Processing Agreement (PDF)

Read and fill out this form for BCBSM agent fee processing.

BCN Agent Fee Payment Process (PDF)

Find out what the requirements are for enrollment in the BCN agent fee payment process.

BCN Agent Fee Processing Agreement (PDF)

Read and fill out this form for BCN agent fee processing.

Medical Policy Updates Newsletter - First Quarter 2025 (PDF)

Find out what was updated in the first quarter.

Medical Policy Updates Newsletter - Fourth Quarter 2024 (PDF)

Read our fourth quarter policy updates in our latest newsletter.

Medical Policy Updates Newsletter - Third Quarter 2024 (PDF)

Find out which policy updates occurred in the third quarter.

Medical Policy Updates Newsletter - Second Quarter 2024 (PDF)

Take a look at our second quarter policy updates.

Downloadable resources

Use these toolkits to educate your employees on how to get the most out of their health plan.

View all
TOOLKIT
Two women sit and talk together.
Behavioral health

Help your employees learn more about their options for mental health care.

Read about behavioral health
TOOLKIT
A woman looks over her HMO documents.
Open enrollment

Help your employees understand how to enroll in a health care plan.

Find out about open enrollment
TOOLKIT
An image of the How to use our toolkit document.
Flu shot

Educate your employees on the importance of getting the flu shot during flu season.

View the flu shot toolkit
TOOLKIT
Two hands use a keyboard to register for an online account.
Using an online account

Help your employees learn how to manage their online account at bcbsm.com.

Learn about online accounts

Frequently asked questions

Blue Cross has a number of nationwide solutions for employees outside Michigan:

  • Blue Card PPO is a national network of providers that accept independent Blue Cross plans across the country. This means your employees can get care while they're living in another plan's service area.
  • Blue High-Performance Network is another national network of providers. These doctors and caregivers have committed to lowering costs while focusing on market-specific quality measurements and consistency.

To find out how these networks can fit your business' needs, connect with us.

There are three types of accounts used to pay for medical expenses: a health savings account, or HSA, a health reimbursement arrangement, or HRA, and a flexible spending account, also known as an FSA.

These accounts are part of what's called consumer-directed health care. Because of that, they're all designed to have certain advantages, for both employer and employee:

  • More control over your health care costs
  • Potential tax savings — money that goes in and out of these accounts can be tax exempt or tax deductible
  • Lower health care costs — consumer-directed health insurance plans are usually less expensive

Which one is best for you and your employees? We’ll try to help you decide.

Note: There are occasions when you can offer — and employees can have — more than one of these accounts. For more information, contact your representative.

PCP Focus is a custom primary care physician HMO network offered by Blue Care Network. The doctors your employees will choose from this network have shown they can provide quality care and a high level of efficiency that lowers health care costs. We pass those savings on to you: your premiums are 6-9% lower when you choose a plan with the PCP Focus network.