Preferred Maketing Associates (PMA)
Monday - Thursday:
8 am - 4:45 pm
Friday:
8 am - 12:30 pm
Supplies
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  (153 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  (623 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  (795 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)
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)
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