For consistency, and to meet state department of insurance requirements, we need to provide clients with current, approved applications for their life and disability plans from Anthem Blue Cross.
The current applications to use for your state are in the Forms Library. We will also continue to accept enrollments by Compassi Online Employer Self-Service, census, and EDI files.
Please contact your sales representative if you have any questions.
Life and Disability products underwritten by Anthem Blue Cross Life and Health Insurance Company. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross, Anthem Life Insurance Company and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.