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Blue Cross Blue Shield of Texas – Health Insurance
  • Security Form 
  • Confidentiality Agreement 

For technical support, call 888-706-0583.

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Forms and Information for TRS-ActiveCare Benefits Administrators

  • 2011–2012 Plan Highlights 
  • Online Supply Form (submit online)
  • Claim Form 
  • Exception Request Form  (submit online) — Information on how to use this form 
  • Transitional Benefits Request/Provider Release of Information 
  • COBRA Transmittal Form 
  • Application to Split Premium 
  • 2011–2012 Employee Enrollment Presentation (PowerPoint)
  • Continuation Coverage Rights Under COBRA 
  • General Notice of Special Enrollment Rights and Preexisting Condition Exclusion 
  • Notice of Privacy Practices 
  • CHIPRA Notice 
 
Register for Enrollment and Maintenance Training

BlueResourceSM

Employee Communication Campaign

Posters, flyers and newsletter/e-mail articles on health and wellness topics that you can share with your employees.

  • Member Communications
  • Wellness Works PDF File
  • Foreign Provider Claims PDF File
  • HRA and Blue Points PDF File
  • Learn how to recognize and report health care fraud

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