Forms and Information for TRS-ActiveCare Benefits Administrators
- Blue Access for Employers (account maintenance and billing)*
- Blue Access for Employers Security Form
- Blue Access for Employers Confidentiality Agreement
- Blue Access for Employers Easy Reference Guide
- 2007-2008 Plan Highlights
- 2008-2009 Plan Highlights
- Online Supply Form (submit online)
- Claim Form
- Transitional Care Request Form
- COBRA Transmittal Form
- Application to Split Premium
- Application and Change Examples
- 2007-2008 Employee Enrollment Presentation (PowerPoint)
- 2008-2009 Employee Enrollment Presentation (PowerPoint)
- Continuation Coverage Rights Under COBRA
- General Notice of Special Enrollment Rights and Preexisting Condition Exclusion
*For Blue Access for Employers technical support, call 1-888-706-0583.