May 18, 2016
July 2016 Small Group Renewal Paperwork Due June 1
Blue Cross and Blue Shield of Texas (BCBSTX) small groups (1- 50) that are renewing July 2016 must return any required paperwork by June 1, 2016. See table below for forms included with 2016 renewals.
2016 Forms for Small Group Renewals
Due Date for
July 2016 Renewals
Default Action if
Form Is not Received
Billing Method Declaration form
Required for groups
electing composite billing
June 1, 2016
BPA for Amendment
Required for groups
that want to make
benefit plan changes or other types of changes
Changes will not apply at the time
of the effective renewal date.
Grandfathered Health Plan Certification form
IMPORTANT: Rate Table, Signature and Contribution Information pages (up to three separate pages) are required.
Required to renew the group’s grandfathered plan(s) – if applicable
The grandfathered plan will be moved to the closest ACA metallic plan at time of renewal.
New! Composite Billing
July 2016 renewal exhibits include composite billing, in addition to individual age rate billing for the Affordable Care Act (ACA)/Metallic plans (medical and dental). Composite billing tiers include:
Paperwork Requirement for Composite Billing:
New! 2016 BPA for Amendment Form
The Small Group Benefit Program Application (BPA for Amendment) – only required if the renewing group is making a plan change – has been updated for 2016. This form, plus theÂ 2016 BPA for new business, is available in the Forms Finder page of our website.
Paperwork Requirements for Grandfathered Plans:
Important: Groups renewing their grandfathered plans in July must submit the Grandfathered Health Plan Certification form 30 days in advance of the effective renewal date. If the Grandfathered Health Plan Certification form (including Rate Table, Signature and Contribution Information pages) for groups renewing in July is not submitted by the deadline, the grandfathered plan will be moved to the closest ACA metallic plan at time of renewal.
Update: Change to Renewal Process for 2016 EGI Process that Includes MSP Forms
As a reminder, BCBSTX will no longer require small groups to complete the Employer Group Information (EGI) form, including Medicare Secondary Payer (MSP) information, at the time of renewal. Please note, the EGI form is still required as part of the new group documentation. Although the EGI form should not be submitted for renewing groups, it is required for new group submissions.
Details for employers on entering MSP information online at Blue Access for EmployersSM (BAE) are now available in the article:
Medicare Secondary Payer Data Collection Will Open on BAE May 26.
Paperwork Deadlines for New Small Group Business
As a reminder, paperwork deadlines for new small group business are different from small group renewals. BCBSTX recommends submitting new, small group paperwork at least two weeks prior to the group's requested effective date. If paperwork is received after the group's requested effective date, the group may risk having its effective date moved to a future time.
For more information, contact your Texas Small Group Account Management Unit at 877-239-5582 or via fax at 972-907-3631.