Due to a planned data migration beginning Friday, July 11 at 11:00 p.m., and continuing through Monday, July 14 at 8:00 a.m., you may experience a delay in your information appearing on CareFirst portals. We expect that changes to member data will be reflected on the portals by Tuesday, July 15. Your patience is appreciated.
Change Healthcare notifying individuals of data breach. Learn more here.
CDH - BluePreferred - Group and Member Applications - District of Columbia
Note: If the group is adding a BlueFund HRA at renewal or purchasing it as a new group, the group must complete the HRA Plan Design Guide as well as the Employer ACH Authorization.
CDH - BluePreferred
| Group Size | Group Subscriber Enrollment Form | Group Contract Application | Point of Enrollment |
|---|---|---|---|
| 2-50 BlueFund BluePreferred HRA | CUT5153 | N/A | N/A |
| 2-50 BlueFund BluePreferred HSA | CUT5153 | N/A | N/A |
| 2-50 BluePreferred HSA or HRA Compatible Plans | CUT5153 | N/A | N/A |
| 2-50 BluePreferred High Deductible Health Plans | CUT5153 | N/A | N/A |
| 51+ BlueFund BluePreferred HRA | CUT5153 | DC/GHMSI/GCA/LG (R. 3/14) | DC/GHMSI/CFBC/POE/ GCA/LG (R. 3/14) |
| 51+ BluePreferred HSA or HRA Compatible Plans | CUT5153 | DC/GHMSI/GCA/LG (R. 3/14) | DC/GHMSI/CFBC/POE/ GCA/LG (R. 3/14) |
| 51+ BlueFund BluePreferred HSA | CUT5153 | DC/GHMSI/GCA/LG (R. 3/14) | DC/GHMSI/CFBC/POE/ GCA/LG (R. 3/14) |
| 51+ BluePreferred High Deductible Health Plans | CUT5153 | DC/GHMSI/GCA/LG (R. 3/14) | DC/GHMSI/CFBC/POE/ GCA/LG (R. 3/14) |