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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 Portfolios

View Small Group and Blue Balance FundedSM plan options

Benefit Changes/Uniform Modification Notice Adobe PDF

Key Contacts

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

Summaries of Benefits and Coverage (SBC)

Tier 1 Report

Aggregate paid claims vs. paid premiums; for groups over 20

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.

Submit renewal changes through Request Center.
Request Center User Guide Adobe PDF

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?

Submit member applications through Membership Message Center.
Message Center User Guide Adobe PDF

FAQ Adobe PDF

Annual regulatory forms, reporting and requirements Adobe PDF

Marketing Materials

Member Fliers

Blue Advantage PPOSM Member Flier Adobe PDF

Blue Preferred PPOSM Member Flier Adobe PDF

Blue365® Discount Program Adobe PDF

BlueCard® PPO Member Flier Adobe PDF

BAM Capabilities Member Flier Adobe PDF

BAM Registration Flier Adobe PDF

Global® Core flier Adobe PDF

Blue PointsSM Member Flier
English Adobe PDF   Spanish Adobe PDF

Preventive Care Services (Member) 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 (LG/Performance Drug List)

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

Dental, Life and Vision Resources

Ancillary Solutions for Producers

Ancillary Set Plans
Life/Disability Adobe PDF   Vision/Accident/Critical Illness Adobe PDF

Ancillary for Small Groups Adobe PDF

Dental - Contributory Plans Adobe PDF

Dental - Voluntary Plans Adobe PDF

Dental Plan Summaries

Virtual Dental Visits Employer Flier Adobe PDF

BlueCare Dental PPOSM Employer Flier

BlueCare Dental Enhanced BenefitSM Member flier Adobe PDF

Voluntary Vision Plans

Vision Plans Summary Adobe PDF

Vision - Contacts and Frames Flier Adobe PDF

EyeMed

Pediatric Vision Flier
English Adobe PDF  Spanish Adobe PDF

Member Rewards

Employer Flier Adobe PDF

Member Overview Flier
English Adobe PDF   Spanish Adobe PDF

Member Welcome Flier
English Adobe PDF   Spanish Adobe PDF

Helpful Links and Resources

Blue Access for EmployersSM Quick Start Guide Adobe PDF

Blue Access for ProducersSM Quick Start Guide Adobe PDF

Blue Balance Funded ASO Adobe PDF

Alerts and Announcements Adobe PDF

Newsroom

More Producer Resources

Retail Readiness Microsite Adobe PDF

GeoBlue® International Travel Insurance Adobe PDF

Materials for Past Plan Years

2024 Small Group Product Portfolio Adobe PDF

Contributory Dental Plans
2022 Adobe PDF   2021 Adobe PDF

Voluntary Dental Plans
2022 Adobe PDF   2021 Adobe PDF

Dental Plan Summaries of Benefits
2020   2022   2021

2022 Plan Booklet Samples Adobe PDF