Benefit Administrator (BA) Forms Center

Benefit Administrator Authorization Form

Use the Benefit Administrator Authorization Form to request the following online services:

  • Obtain a registration code to access BlueBizSM, BluesEnrollSM, and View and Pay Invoice
  • Authorize designated BAs (add/delete/modify) for your organization's online access
  • Access group enrollment through BluesEnroll, where you can change (add/delete/modify) or manage your group's member information
  • View and pay your invoices online
  • Modify administrators

Just download the form, fill out the appropriate fields, print the form and fax it to the appropriate number indicated on the form. If you have questions regarding these services, please contact your Agent or Service Advocate.


 

BluesEnroll is an easy to use electronic enrollment and benefits management web based service. Contact your Agent or Service Advocate to see if your Group is eligible to start using this convenient online tool today.

 

View and Pay Invoice allows you to view and pay your invoice as soon as it is available and pay online, eliminate time and paperwork. Contact your Agent or Service Advocate to see if your Group is eligible to start using this secure online eBilling tool today.

For Employers - BA Forms | BCBSF