New Business Enrollment Checklist Sample Contracts

REQUIRED NEW BUSINESS ENROLLMENT FORMS: **Make sure all forms submitted are the most current available**Current forms are available on the New Business section of the Grotenhuis website BCBSM BCN SAD ERS 50+ □ Group Enrollment and Coverage Agreement –...
New Business Enrollment Checklist • November 7th, 2012

PLEASE NOTE: a complete scrub CANNOT be done until all active employees can be accounted for through cross-checking ECOS, waivers, QWDR & group roster. Groups cannot be submitted to underwriting with missing information. Submitting incomplete paperwork to Grotenhuis does not guarantee an effective date.