Excellus Bluecross BlueShield logo
Login | Register | Forgot Username | Forgot Password
Program Offerings
By Phone
By Email
By Mail
Visit Us In-Person
News & Updates
Print Forms
About Us
Compliance Notices
Broker News | July 2015
Broker News | July 2015

Important Update: Revised Annual Group Information Form

This is a follow up to our recent email news regarding state and federal regulations that require us to obtain certain information on our employer group clients.

In the Broker News sent on Thursday, July 2, we included a PDF of the 2015 Group Information Form (GIF). Due to ACA requirements, the form has since been modified to more accurately capture group size information.

The changes we made included:

Section #3 under "Medical Full Time Equivalent Calculation,” question #11 is now using 1,440 total hours per year for a part-time employee. 

  • Updated 2015 GIF (PDF) (Updated 8/13/15 - with editable fields so you can fill out, save and print.)

We also added new instructions to help groups complete the form.

The new web-based GIF form is still on track to be launched in early August of this year.

Please share this information with your groups. If you have any questions, please contact your account consultant.

 

 

Home     News & Updates    Print Forms    About Us    Fraud & Abuse    Glossary    Accreditations   
Language Assistance and Non-Discrimination Notice

Copyright © 2018, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. All rights reserved. View our Web Privacy Policy for information on how we protect your privacy. Use of this site indicates your acceptance of our Terms of Use. Follow this link to view our 31 county New York State service area. You will need Internet Explorer or Firefox to use the secure features of this site.