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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

Key Contacts

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

Summaries of Benefits and Coverage (SBC)

Small Group Benefit Changes/Uniform Modification Notice

Changes to your group's current benefit design.

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 Message Center.
Message Center User Guide Adobe PDF

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

Global® Core flier Adobe PDF

Preventive Care Services (Member) Adobe PDF

Provider Finder® Member Flier Adobe PDF

Virtual Visits Member Flier Adobe PDF

Wellbeing Management Adobe PDF

24/7 Nurseline Member Flier
English Adobe PDF   Spanish 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

MyBlueRxOK
Employer Flier Adobe PDF

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

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

EyeMed Vision Site Member Flier Adobe PDF

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

Member Rewards Toolkit

Toolkit Member Flier
English Adobe PDF   Spanish Adobe PDF

Poster Adobe PDF

Monitor Slide Adobe PDF

Web Banner 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

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