Preferred Maketing Associates (PMA)
Monday - Thursday:
8 am - 4:45 pm
Friday:
8 am - 12:30 pm
Supplies
2021 Master Application
            2021 Master Application  (914 kb)
2021 Employee App
            2021 Employee App  (943 kb)
2021 Employee App Spanish
            2021 Employee App Spanish  (100 kb)
2021 BCBS Options at a Glance
            2021 BCBS Options at a Glance  (7797 kb)
EFT Authorization
            EFT Authorization  (913 kb)
2021 Rate Book
            2021 Rate Book  (968 kb)
2021 BCBS Underwriting Guidelines
            2021 BCBS Underwriting Guidelines  (395 kb)
2021 BlueFreedom Options At A Glance
            2021 BlueFreedom Options At A Glance  (8958 kb)
2020 BCBS Master Application
      For use on 2020 contract for ACA groups 2-50.
            2020 BCBS Master Application  (871 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 Ratebook
            2020 BCBS Ratebook  (922 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)
EFT Authorization
            EFT Authorization  (782 kb)
Network Flier
            Network Flier  (1345 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  (92 kb)
BCBS Amendment
            BCBS Amendment  (599 kb)
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