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Blue Shield Enrollment Form Changes and Version Acceptability
Carrier Updates
Thursday, December 11 2025
Blue Shield has shared a list of small business enrollment form changes and version acceptability. The Small Business Enrollment forms have been revised for January 1, 2026.
Version Acceptability:
• The January 2026 version of the enrollment and refusal forms are required for January 1, 2026, and later effective dates
• Please note that some forms such as COBRA & continuation of coverage may have an effective date prior to 2026 and that is because there were no material changes in the content of the forms, therefore they are still valid.
Form Changes:
• Changes to enrollment forms included plan name updates and logo updates per the organization’s new logos.
• Please be aware that logo updates have not yet been applied to all forms. The marketing team will implement these updates gradually, in conjunction with material content changes to the forms.
For More Information or Help Quoting Blue Shield, Please Contact Your Dickerson Sales Representative.
Version Acceptability:
• The January 2026 version of the enrollment and refusal forms are required for January 1, 2026, and later effective dates
• Please note that some forms such as COBRA & continuation of coverage may have an effective date prior to 2026 and that is because there were no material changes in the content of the forms, therefore they are still valid.
Form Changes:
• Changes to enrollment forms included plan name updates and logo updates per the organization’s new logos.
• Please be aware that logo updates have not yet been applied to all forms. The marketing team will implement these updates gradually, in conjunction with material content changes to the forms.
For More Information or Help Quoting Blue Shield, Please Contact Your Dickerson Sales Representative.