Forms

The following are administrative forms used by various insurance companies that AIS represents. AIS has not created these forms but has provided access to these forms via our web site for your benefit at a central location.

Alliant Health Plans -

Employee Enrollment Application

Alliant Health Plans -

Group Admin Form

Assurant Health - Fortis -

Employer Application

BCBS -

Individual PHI Form

Blue Cross Blue Shield -

Change Form - Individual

Blue Cross Blue Shield -

Small Group Application

Blue Cross Blue Shield of GA -

Individual Application

Blue Cross Blue Shield of Georgia -

Short Term Medical Brochure-App

Coventry -

Employee Application

Coventry -

Group Master Contract

Starmark -

Employee Enrollment Form

Starmark -

Employer Application