Blue Links for Brokers - Employee Admin Forms - Blue Cross Blue Shield of Massachusetts

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Employee Admin Forms

We've made it easy to find the enrollment and benefits information your client's employees are looking for. Just browse through this centralized list and click on the appropriate link to download a PDF version of the form you're looking for.

You will need Adobe Acrobat® Reader to view these PDF documents.

Please check our Forms and Brochures on bluecrossma.com for additional forms and brochures.

Affidavit of Domestic Partnership for Benefits Eligibility
Member Enrollment form (Editable)
Member Enrollment form (Spanish)
Retaining Coverage for Disabled Dependent Child
Student Certification Affidavit
Student Medical Leave Affidavit form
Subscriber Submit Claim form
Dental Claim form
Member's Authorization for Release of Information
Member's Designation of a Personal Representative

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