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INSTRUCTIONS In Connecticut, Anthem Blue Cross and Blue Shield is a trade name of Anthem Health Plans, Inc., an independent licensee of the Blue Cross and Blue Shield Association. Registered marks
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What is enrollment and membership change?
Enrollment and membership change refers to updating information regarding individuals who have newly enrolled, changed membership status, or left a group or organization.
Who is required to file enrollment and membership change?
Any organization or group that manages memberships or enrolls individuals, such as employers, clubs, or schools, may be required to file enrollment and membership change.
How to fill out enrollment and membership change?
Enrollment and membership change forms can typically be filled out online or submitted through a designated platform provided by the managing organization.
What is the purpose of enrollment and membership change?
The purpose of enrollment and membership change is to ensure accurate and up-to-date records of individuals within a specific group or organization.
What information must be reported on enrollment and membership change?
Information such as the individual's name, contact information, membership status (e.g. new, change, or termination), and any relevant changes must be reported on enrollment and membership change forms.
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