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51+: Member Enrollment Form has New Look

Mar 10, 2011

New Large  Group Member Enrollment form is totally revamped! 


As Anthem is always looking for better and more efficient ways to serve your clients, they are very excited to announce that the Large Group Member Enrollment form for clients with 51 or more employees has been revised (both English and Spanish). You no longer need a variety of forms to enroll members or make changes, as the new form consolidates a number of forms into one.

As you will see on the pdf files GC4050 (English) and GC4053 (Spanish), the new multi-purpose form combines medical, dental, life, adding a dependent, declination of coverage, COBRA, Cal-COBRA, etc. Plus, it is no longer a multi-part form. After research, they've found that their various internal departments no longer need a copy.

The advantages of the revamped form are:

Anthem has also developed the attached fill-able GC4050, GC4053 as an additional option for clients.

For more information, please contact your dedicated Large Group Sales Assistant - 888.722.3373

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