Your State:

Anthem Blue Cross and Blue Shield

Bookmark the new Broker Launchpad – guiding you to the right tool at the right time.

Nov 29, 2022

  • Large Group
  • Small Group
  • CO
  • CT
  • IN
  • KY
  • ME
  • MO
  • NH
  • NV
  • OH
  • VA
  • WI
  • GA

Make sure your life and disability clients have the current application forms

For consistency, and to meet state department of insurance requirements, we need to provide clients with current, approved applications for their life and disability plans from Anthem Life.

The current applications to use for your state are in the Forms Library. We will also continue to accept enrollments by Compassi Online Employer Self Service, census, and EDI files.

Please contact your sales representative if you have any questions.

Life and Disability products are underwritten by Anthem Life Insurance Company. In Georgia, Life and Disability products are underwritten by Greater Georgia Life Insurance Company using the trade name Anthem Life. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Back to Top