ATTENTION: CareFirst will file Federal RxDC reports for 2024 by June 1, 2025. All current clients with medical or pharmacy products through CareFirst in 2024 must complete the Annual RxDC Information Submission form under Quick Links by May 12, 2025, to be included in CareFirst's D1-Premium & Life Years data filing.

Change Healthcare notifying individuals of data breach. Learn more here.

Maryland Small Group Off-SHOP Applications and Forms

A variety of applications and other forms are available.

Please contact your Account Manager or Broker Representative to ensure that you have the correct forms. Please choose from the list below:

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BlueChoice HMO Referral

Group & Member Applications

Miscellaneous Forms

Group & Member Applications

Miscellaneous Forms

BlueChoice Plus / BlueChoice Plus Opt-Out

Group & Member Applications

Miscellaneous Forms

BlueChoice Advantage

Group & Member Applications

Miscellaneous Forms

BluePreferred PPO

Group & Member Applications

Miscellaneous Forms

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