News & Updates

← Back to News & Updates

51-125: New Employee Application Available

Oct 29, 2015

Anthem is pleased to announce that the Large Group Member Enrollment forms have been revised (both English and Spanish).

Some of the revisions include: 

Here are pdfs of the forms:

All other versions of the Employee Application are considered "obsolete" and this updated version is the only one that should be used by statewide sales and brokers.

For questions, please ​contact a member of your b&p Sales Team - 888.722.3373.

Privacy Policy