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 | Vol. 11 No. 12
Broker News | Vol. 11 No. 12

Accessing the Web Version of the Annual Group Information Form

To locate the web version of the Annual Group Information Form (AGIF) follow these:

  1. Log in to your account at ExcellusBCBS.com.
  2. Once logged in, you can find the form in the Broker page or the Employer page.
  3. From the top navigation bar, select “Enroll & Update”
  4. Click on the “Group Information Form” link found on the left hand column
  5. Once the form is opened, enter the group number to start completing the form.

From the Broker Portal: 

From the Employer Page:

If the group does not have a login, they can request access at our registration page.

IMPORTANT: When a group is completing the web registration form, please be sure to use this link ONLY. Using any other link may impact your access for that group.

Benefits for Completing Form Online:

  • Quick submission — no mailing delay
  • Information is securely stored for future renewals
  • Ability to virtually sign the form
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.