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      • The BCHS Group Benefits Program
        • Summary of Group Benefits
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      • Group Critical Illness Insurance
      • Employee & Family Assistance Program (EFAP)
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> Services & Solutions > Group Benefits Programs, Critical Illness Coverage and Travel Accident
Forms and Links
EMPLOYEE BENEFITS PROGRAM
  • Sample Benefits Booklet 
ADMINISTRATION & CLAIMS FORMS FOR BCHS GROUP BENEFITS PROGRAM
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  • Application for Group Benefits
  • Extended Health and Dental Change form
  • Extended Health and Dental Waiver form
  • Extended Health Claim form
  • Change of Beneficiary form
  • Application for Voluntary AD&D
  • Dependent Life Claim form
  • Employee Life Claim form
  • Long Term Disability Claim package
  • Short Term Disability Claim package


    HSA FORMS (Health Spending Account)
  • HSA Application Card
  • HSA Claim Form

LINKS
  • Pacific Blue Cross

 

Services & Solutions
  • Group Benefits Programs, Critical Illness Coverage and Travel Accident
    • The BCHS Group Benefits Program
      • Summary of Group Benefits
    • Travel Accident & Casualty Insurance
    • Group Critical Illness Insurance
    • Employee & Family Assistance Program (EFAP)
    • Essential Benefits Plan
    • Physicians Health & Dental Plan
    • Forms and Links
  • Group Purchasing
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