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
Employer News | December 2017
Employer News | December 2017

Tips to Help Expedite AGIF Review

To expedite the review of the Annual Group Information Form (AGIF) and any benefit changes, please ensure the following criteria are met before submitting the form to us: 

  • Make sure the AGIF is completed in its entirety.
  • If you have a Medicare product, be sure the Medicare supplemental form is also included with the medical AGIF submission.
  • If you have a dental product, make sure the dental supplemental form is also included with the medical AGIF submission.
  • Make sure the business physical address and company headquarters address do not have a P.O. box listed. It is the physical address, and not a mailing address, that is required for both of these questions.
  • Make sure the signature page is both signed and dated by the administrator.

Please be advised that for paperwork received after February 1, an Annual Group Information Form (AGIF) requires a signature dated 2018.


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

Copyright © 2019, 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.