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Dental Insurance

A great smile can go a long way. Check out Blue Cross of Idaho's group and individual dental plans.

Disease Management Programs

By encouraging self-management and facilitating optimal care with doctors, our disease management programs can help you achieve cost-effective healthcare that promotes a greater quality of life.

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FDA OKs Concerta for Adult ADHD

The FDA has approved the drug Concerta for the treatment of attention deficit hyperactivity disorder (ADHD) in adults.

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Forms for Small Employer Groups of 2-50 Employees

 
Download Instructions:
The following applications and forms are in PDF format.  Adobe Acrobat Reader  software is required to view, print and search these PDF documents. Please download this free software on the Adobe Acrobat Web site. Please note that Blue Cross of Idaho does not provide Technical Support for Acrobat Reader Software. For technical support, please contact Adobe. 

 

APPLICATIONS & ENROLLMENT FORMS

 FORM NO.

Application Cover Sheet for Group Dual Option (HSA)

3-128

Application for Small Employer Coverage

3-470

Chamber Blue or Essential Blue for Chambers Employee Census Data

3-132

Employee Census Data

3-468

Employee's Waiver of Health Care Coverage

3-467

Group Questionnaire for New Groups 2-50 Employees

3-469

Idaho Small Employer Application Cover Sheet

3-366

Managed Care Group Questionnaire for New Groups 2-50 Employees

3-242

Small Group Enrollment Application

3-607