Making changes to your plan

Changing your group’s contact name and address

If you have 1 to 50 employees, you can submit a Small Employer Group Change Form (F7142) or your group’s letterhead, signed by the business owner or authorized signer. You can fax it to us at (651) 662-7544 or mail it to:

Please email the completed form to: small.group.sales.support@bluecrossmn.com, or
Mail to: Small Group Sales Support N187
Blue Cross and Blue Shield of Minnesota
PO Box 64560
St. Paul, MN 55164-0560

If the change is due to a change in ownership, please contact your agent or marketing representative for details on how to proceed.

Adding a new employee

If you have 1 to 50 employees, have the employee complete a Small Group Employee Application (F10936) and fax, mail, or email it to: enrollment.forms@bluecrossmn.com
Blue Cross and Blue Shield of Minnesota
PO Box 64024
St. Paul, MN 55164
(651) 662-7258 (fax)

An employee’s application must be received by Blue Cross within 30 days of the employee's eligible start date to get the desired effective date.

Downloads

Small Employer Group Change Form (PDF)

Small Group Employee / Waiver Form (PDF)

Small Group Employee or Dependent Cancel Form (PDF)

Changes to special enrollment for employees and dependents

This information is for small employers (1-50 employees) and large employers (more than 50 employees with 50 or fewer enrolled in the health plan).

What has changed and when can people enroll?

The Affordable Care Act has established time limits for when you can add or remove employees or dependents to your current health plan. As of January 1, 2014, employees (and dependents) have 3 opportunities to enroll in your health plan:

• New employee
• Annual open enrollment (30 days before your plan’s annual renewal date)
• Special enrollment

Late entrants (employees or dependents who want to enroll after their initial eligibility date or open enrollment period) can no longer enroll in your health plan whenever they want coverage unless they have a special enrollment event.

For most special enrollment events, an employee must enroll within 30 days of the special enrollment event. We’ll need to receive the application, enrollment form and necessary documents within 30 days. If not, the employee or dependent will need to wait to enroll during your next annual open enrollment.

Special enrollment life events to add or remove employees or dependents

These are a few of the reasons you can add or remove employees and/or dependents.

• Birth or adoption of a child or grandchild
• Marriage
• Divorce
• Child loses dependent status

What does the employee need to submit to Blue Cross for a special enrollment?

Small Group Employee / Waiver Form (PDF)

When will the coverage start?

The effective date of coverage varies and is based on the special enrollment event.

What if the employee misses their special enrollment period?

The employee and/or dependent must wait until your next open enrollment period, which begins 30 days before your annual renewal date. This is also when an employee and/or dependent who previously waived coverage can be added to the health plan without a special enrollment event. (Applications must be received during the 30 day period before your renewal date.)

Questions?

We’re here to help. Call the group leader line at (651) 662-1725 or toll free 1-877-293-7035.