Preferred Maketing Associates (PMA)
Monday - Thursday:
8 am - 4:45 pm
Friday:
8 am - 12:30 pm
Supplies
2020 BCBS Master Application
      For use on 2020 contract for ACA groups 2-50.
            2020 BCBS Master Application  (849 kb)
2020 BCBS Employee App
            2020 BCBS Employee App  (936 kb)
2020 BCBS Employee App - Spanish
            2020 BCBS Employee App - Spanish  (100 kb)
2020 BCBS Options at a Glance
            2020 BCBS Options at a Glance  (8650 kb)
2020 BCBS Underwriting Guidelines
      For ACA Options 2-50
            2020 BCBS Underwriting Guidelines  (340 kb)
2020 BlueFlex Master Application
            2020 BlueFlex Master Application  (1296 kb)
2020 Blueflex Stop Loss Agreement
            2020 Blueflex Stop Loss Agreement  (359 kb)
2020 BlueFlex Options at a Glance
            2020 BlueFlex Options at a Glance  (2935 kb)
2020 BlueFreedom Options
            2020 BlueFreedom Options  (9866 kb)
2019 BCBS Ratebook
      For use with 2019 ACA plans
            2019 BCBS Ratebook  (896 kb)
2019 BCBS Master Application
      For use on ACA plans 2-50
            2019 BCBS Master Application  (849 kb)
2019 BCBS Employee Application
            2019 BCBS Employee Application  (813 kb)
2019 BCBS Employee Application(Spanish)
            2019 BCBS Employee Application(Spanish)  (100 kb)
2019 BCBS Options at a Glance
      For use with 2019 ACA Options
            2019 BCBS Options at a Glance  (3254 kb)
EFT Authorization
            EFT Authorization  (782 kb)
2019 BlueFlex Options
      For use with BCBS 2019 level funded product
            2019 BlueFlex Options   (4708 kb)
2019 BlueFlex Master Application
      For use with 2019 BlueFlex Master Application
            2019 BlueFlex Master Application  (767 kb)
2019 BlueFlex Stop Loss Agreement
            2019 BlueFlex Stop Loss Agreement  (359 kb)
BlueFlex Underwriting Guidelines
            BlueFlex UW Guidelines 2-15-19  (275 kb)
Network Flier
            Network Flier  (1345 kb)
2019 Pharmacy Guide
            2019 Pharmacy Guide  (113 kb)
Probationary Waiver Form
      Must be submitted with app within 30 days of date of hire. Will make employee effective 1st of the month following date of hire.
            Probationary Waiver Form  (588 kb)
Agent of Record Form
            Agent of Record Form  (136 kb)
2019 BCBS Underwriting Guidelines
            2019 BCBS Underwriting Guidelines  (247 kb)
BCBS Amendment
            BCBS Amendment  (599 kb)
BlueFreedom Options
      For use with Groups over 50 employees
            BlueFreedom Options  (11497 kb)
2018 BCBS ACA Ratebook
            2018 BCBS ACA Ratebook  (1583 kb)
2018 Master Group Application
            2018 Master Group Application  (148 kb)
2018 Employee Application
            2018 Employee Application  (813 kb)
2018 BCBS ACA Group Options
            2018 BCBS ACA Group Options  (13318 kb)
Return to Top


Copyright © 2019 Preferred Marketing Associates. All rights reserved.
Website created by Web Solutions Omaha