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Due to various state and federal regulations, Excellus BlueCross BlueShield is required to obtain certain information regarding your group on an annual basis. As your health insurance provider, we know this information as it relates to the members you have with us, but we may not have an accurate understanding of this information as it applies to all of your employees. We appreciate your cooperation in providing this information. If needed, we may use this information to generate a Master Group Agreement.
Our Annual Group Information Form eFile gives you one more way to submit your enrollment to us. Using our formatted Adobe PDF file template, you can easily enter and submit your group information online. Additional Important Information
How to Submit Your Annual Group Information Form eFile:
If you have any questions, please contact your account consultant, broker, or Chamber Trust & Association administrator.