Steps for New Sales
Utilize Helpful Tools & Resources
Summaries of Benefits & Coverage
Is Your Group Eligible?
Use this Blue Balance Funded eligibility checklist before quoting.
Checklist
Regulatory Events
Annual regulatory forms, reporting and requirements
Develop a Quote
Use the "Quote a Group" eSales tool in your Blue Access for Producers account . The quoting tool allows you to create quotes for our fully- and self-funded small group plans.
Small Group Quoting Tool User Guide
Gather Documentation
Go to Form Finder. You'll need to complete the following:
1. Benefit Program Application (BPA)
Complete the small employer benefit program application
2. Business Associate Agreement (BAA)
NOT FOUND IN FORM FINDER
3. Employer Group Information (EGI)
Submit required documentation on group size, MSP and COBRA status. Submit with the BPA.
4. Administrative Service Agreement (ASA)
NOT FOUND IN FORM FINDER
5. Stop-Loss Coverage Policy and Application
Where is this?
6. Employee Enrollment Application / Census - Is this the Average Employee Count (AEC) Form?
https://www.bcbstx.com/docs/forms/group/tx/average-employee-count-form-tx-2025.pdf
You'll also need from the emlployer proof of wages and proof of business
Submit an Enrollment Request
Smart Census Import Tool
Upload member enrollment, submit premiums, respond to requests and more.
After logging in to your account, click Group > Enroll a Group > Blue Balance Funded Group Enrollment. Instructions are on the e-Sales tools page.
Steps for Renewals
Utilize Helpful Tools & Resources
Regulatory Events
Get Renewal Forms
Go to Form Finder. Click on Small Group from the left menu. You'll need to complete the following:
1. Benefit Program Application (BPA) Amendment
Use this to amend the original BPA:
- Adding new plans and keeping current ones
- Membership changes
2. Texas Department of Insurance Required Disclosure Notice
Only required when you add new HMO plans for the first time.
Marketing Materials
Member Resources
Blue Advantage HMO℠ Tools
- Statewide Access
- Coverage Fliers
- Member Fliers