Renewing small group coverage?
Find what you need here
Please return the group master application by the 10th of the month prior to the group's effective date.
Plan information and brochures
Forms
Deductible & Out of Pocket Crediting Form (PDF)
2025 Enrollment and Change Form
2025 Employee Enrollment and Change Form - SPANISH (PDF)
2024 Enrollment and Change Form (PDF)
Group Master Application (PDF)
Employer Attestation-Decline Coverage Form (PDF)
Employer Attestation-Decline Coverage Form - SPANISH (PDF)
Small Group Enrollment Census Template (XLS)
Contact your Small Group Sales Team
Small Group Sales Team directory ›
Western Washington
1-800-542-6312
Central/Eastern Washington
1-800-497-2210
Benefit Summaries and Summaries of Benefits and Coverage ›
Producer portal
Self-service tools have been expanded, giving you access to the small group quoting tool with enhanced capabilities, book of business and member rosters, and more.