Group Administrator Manual (PDF) For Innova^SM and Engage^SM plans only

This guide will serve as your first resource in administering the coverage selected by your company. It has been designed to answer general questions about enrollment, billing, and appeals procedures for Innova^SM and Engage^SM plans.

Group Administrator Guide – For all other plans

This guide will serve as your first resource in administering the coverage selected by your company. It has been designed to answer general questions about enrollment, billing, and appeals procedures. Your group may vary in some areas based on the type of coverage you have selected. Should you have a problem not adequately addressed in this guide, telephone numbers are provided for both our Sales and Customer Service Specialists, assuring you the best possible service.

You may download the guide (PDF) or view individual sections by clicking the links below.

• The Benefit Administrator's Role
• Where to Go When You Have Questions
• Member Cards
• BlueCard Program
• Enrollment Guidelines
• Your Group Bill
• Understanding Coordination of Benefits
• Other Party Liability
• Member Appeal Process
• Member Notices
  • Your Special Enrollment Period Guidelines
  • Notice of Preexisting Condition Exclusion
  • Women’s Health and Cancer Rights Act (WHCRA) Notice
  • Notice of Privacy Practices (PDF)
  • General Notice of COBRA Continuation Rights
  • Commission and Compensation Disclosure

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