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SMALL GROUP (1-50)
RENEWAL KIT

Resources for Blue Cross and Blue Shield of Oklahoma

This webpage is designed to provide the most requested forms and marketing materials. Please bookmark this site and use it for your small group renewal needs.

Plan Booklet Samples

See plan booklet samples for all our Small Group Plans

Key Paperwork Due Dates

Refer to this for important paperwork deadline dates for renewals, Anniversary Date, off-cycle changes or billing cycle changes.

Small Group Portfolio

Check out the product portfolio for an overview of all our small group benefit plan options.

Blue Balance FundedSM ASO Portfolio Adobe PDF

2023 Plan Mapping Flier Adobe PDF

Key Contacts

A comprehensive list of contacts for all your renewal and service questions.

Summaries of Benefits and Coverage (SBC)

Log in to BAP for plans effective before 2021

Forms

Find the most current renewal forms on BAP.

BPA Amendment

Small Group Smart Tip

√ Adding new plans, and keeping current ones? Identify all of them in the BPA/Amendment.

√ Include membership changes OR let Processing know Open Enrollment isn’t closed yet.

√ Renewing without changes? There’s no need to submit a BPA/Amendment.

√ Email renewal changes to:
okpaperwork@bcbsok.com

Membership Application

Avoid Delays! Review these things before you hit send:

  • Did you include the group number?
  • Are the DOB and SSN legible?
  • Did the member sign the last page?

Email member applications to:
bcbs_eligibility_ok@bcbsok.com

Marketing Materials

Member Fliers

Blue Advantage PPOSM Member Flier

English Adobe PDF  Spanish Adobe PDF

Blue365® Discount Program Adobe PDF

BlueCard® PPO Member Flier Adobe PDF

Blue Access for MembersSM (BAMSM) Member Flier Adobe PDF

BAM Registration Flier Adobe PDF

Dispatch Health Adobe PDF Tip: Dispatch Health is only available for groups located in the Oklahoma City Metro area at this time. Members living outside the state of Oklahoma can check online to view other locations.

Global® Core flier Adobe PDF

Preventive Care Services, (Member) Adobe PDF

Preventive Care Services, (Employer) Adobe PDF

Provider Finder® Member Flier Adobe PDF

Virtual Visits Member Flier Adobe PDF

Wellbeing Management Adobe PDF

Pharmacy Resources

Additional Resources

Drug Lists

  • Small Group
  • BBF (Use Large Group/51+)

Glucose Meter Member Flier Adobe PDF

Mail Order Member Flier

English Adobe PDF  Spanish Adobe PDF

Preventive Drug Benefit Programs Flier Adobe PDF

Specialty Pharmacy Member Flier

English Adobe PDF  Spanish Adobe PDF