Documents
Code of Business Conduct
Please note that the Code of Business conduct is now available here. This document sets Blue Cross’s expectation with regard to good business conduct in relationships with clients, other agents, the general public and regulators. It is applicable to all firms, brokers and general agents distributing our products. We encourage you to consult and refer to it as needed.
Product guides
Complete Health
Guaranteed Acceptance
Assured Access
Advisor’s Guide
Advisor’s guide - Blue Cross Health Products
Advisor’s guide (discontinued products)
Changes to existing contracts
Forms
Administration
Individual insurance
Authorization.pdf
Beneficiary Designation Form.pdf
Pre-authorized Debit (PAD) Agreement.pdf
Short Health Statement.pdf
Method of payment.pdf
Health insurance
Guaranteed issue - change form.pdf
Complete Health - change form.pdf
Assured Access - change form for Complete Health.pdf
Travel insurance
Early Return - Premium Reimbursement Request.pdf
Travel Insurance Modification Request.pdf
Contracting & Commissions
Request for Payment Direct Deposit.doc
Claims
Health and dental insurance
Extended health care benefits
Hospital allowance or daily indemnity
Dental care
Accidental fracture
Critical illness
Accidental loss of use or dismemberment
Disability insurance – Initial claim
Claimant's guide to disability insurance
Business expenses report for overhead expenses
Mortgage Plan - Information on the creditor/loan
Loss of Autonomy Assessment
Attending Physician statement - Short Term Disabilitiy
Questionnaire - Attending Physician's Statement - Mental Health Condition
Disability insurance – Claims during a disability period
Authorization forms
Return to work notice
Accident statement
Business expenses report for overhead expenses
Employer's statement
Attending physician's statement – additional report
Request for payment by direct deposit