| Title | PDF |
Excellus Blue Choice and Blue Healthy Choices Plans for GRAR
New 2010 plans and rates for Excellus Blue Choice and Healthy Blue Choices Plans for the GRAR Chamber. Please note these plans require special underwriting and participation requirements. Please call for details.
|
|
Excellus Blue Choice HMO Plans for GRAR
New 2010 plans and rates for Excellus Blue Choice HMO Plans for the GRAR Chamber. Please note these plans require special underwriting and participation requirements. Please call for details.
|
|
Excellus Healthy Blue and Simply Blue Plans for GRAR
New 2010 plans and rates for Excellus Healthy Blue HD and Simply Blue Plans for the GRAR Chamber. Please note these plans require special underwriting and participation requirements. Please call for details.
|
|
Excellus GRAR Enrollment/Change Form
|
|
Excellus GRAR Underwriting
Required for new subscribers and those wishing to make product changes. GRAR's open enrollment is January 1. Qualifying event needed if applying at any other time.
|
|
Excellus Healthy Blue Application
Use this application to enroll in one of the new Healthy Blue plans through Excellus Blue Cross Blue Shield.
|
|
GRAR Guardian Dental Application
Application to enroll in GRAR's Guardian Dental plan. Please call for details on how to apply for this coverage.
|
|
GRAR Guardian Dental Plan Summary
Summary of the 2010 benefits provided by the Guardian Dental Plan available to members of GRAR.
|
|
MVP 2010 High Deductible HMO Copay Plans for GRAR
New 2010 plans and rates for MVP High Deductible and HMO Copay Plans for GRAR Chamber. Please note these plans require special underwriting and participation requirements. Please call for details.
|
|
MVP 2010 Trivantage EPO and Hybrid Plans for GRAR
New 2010 plans and rates for MVP Trivantage T03S, E0016S, and E0050S for the GRAR Chamber. Please note these plans require special underwriting and participation requirements. Please call for details.
|
|
MVP 2010 Trivantage EPO Plans for GRAR
New 2010 plans and rates for MVP Trivantage T01S, E0041S, and E0046S for the GRAR Chamber. Please note these plans require special underwriting and participation requirements. Please call for details.
|
|
MVP Enrollment Form
Please use this enrollment application when enrolling an employee in an MVP product.
|
|
MVP GRAR Underwriting
Please complete this underwriting when enrolling or making a plan change through MVP with GRAR.
|
|
MVP Trivantage Reimbursement Form
Used for Lifestyle Reimbursements under the Trivantage Program.
|
|
Bene-Care Cancellation Form
Please use this form for all cancellation requests.
|
|
| | |