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.

BlueChoice Advantage Group and Member Applications - Maryland

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Maryland – MSGR

Group Size	Group Subscriber Enrollment Form	Group Contract Application	Point of Enrollment
MSGR (2-50)	N/A	N/A	N/A
MSGR (Self-Employed)	N/A	N/A	N/A

Maryland – GHMSI

For MD groups headquartered in Prince George's or Montgomery counties.

Group Size	Group Subscriber Enrollment Form	Group Contract Application	Point of Enrollment
2-50 NON-MSGR	CUT6984	N/A	N/A
51+	CUT6984	MD/GHMSI/CFBC/POS-POE/GCA/LG (11/18)	MD/GHMSI/CFBC/POS-POE/GCA/LG (11/18)

Maryland – CFMI

For MD groups headquartered in counties other than Prince George's and Montgomery.

Group Size	Group Subscriber Enrollment Form	Group Contract Application	Point of Enrollment
2-50 NON-MSGR	CUT6984	N/A	N/A
51+	CUT6984	CFMI/CFBC/POS-POE/GCA/LG (11/18)	CFMI/CFBC/POS-POE/GCA/LG (11/18)

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