This page may have documents that can’t be read by screen reader software. For help with these documents, please call the number on the back of your member ID card.

Get a Quote 

Please provide the details below along with completed census document and return to in order to obtain a quote. For more information view the census user guide.

  • Group name
  • Group Address
  • Group County
  • Current Carrier
  • BCBSTX Broker ID
  • Effective Date
  • SIC Code

Enroll Now 

Once you’ve obtained a quote and are ready to enroll, use the enrollment checklist and enrollment guide to complete your enrollment paperwork.

This information should be submitted through the Request Center in order to continue the enrollment process. Final documentation required to enroll must be received no later than the 15th of the month in order for your coverage to be effective the beginning of the following month.