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INDIVIDUAL BLUES BROCHURES AND APPLICATIONS

Application
Change of Status Request Form - Agent use only
Enrollment Rate Sheet
EFT Form
Pre-x Waiver form and HIPAA Guidelines
Plan Comparison Chart
Flexible Blue 1500 BAAG
Flexible Blue 2500 BAAG
Flexible Blue 5000 BAAG
Young Adult Blue Max Application
Young Adult Blue Max BAAG
IC Blue Plus BAAG
Personal Blue Dental and Dental Plus Brochure and Rates
Personal Blue Dental and Dental Plus BAAG
Flexible Blue Dental Plus BAAG
Maternity BAAG
Keep Fit BAAG
Keep Fit Wellness Incentive Placemat
Keep Fit Rate Sheet

BCN OneBlue BROCHURES AND APPLICATION

One Blue Rates (9/1/2011 thru 3/31/2012)
Benefits at a Glance
Application
Change of Status Form
Field Guide
Frequently Asked Questions
Unacceptable Medical and Non-Medical Conditions for OneBlue
Smart Select Application
Smart Select BAAG
Smart Select Rate Sheet

TRADITIONAL PLANS A & C (Non-Commisionable)

Brochure
Rates
Application

MY BLUE MEDIGAP
(Underwritten by BCN)

2012 Outline of Coverage with New Application
Outline of Coverage with Application eff 1/1/2011
2012 Outline of Coverage with Request to Change
Outline of Coverage with Request to Change eff 1/1/2011
Outline of Coverage with Application 12/31/10
Medigap Plan Changes Effective June 1, 2010
MyBlue Medigap Basics
Field Underwriting Guidelines
Verification of Health Status Change Form
Overview

BCBSM/BCN MAPD/PDP Resources for Agents
2012 MA-PD Training & Certification