| Group Size | Employee Eligibility and Election |
|---|---|
| 2-50 | View Form |
Change Healthcare notifying individuals of data breach. Learn more here.
Maryland Small Group On-SHOP - Direct Enrollment Forms
For group installation paperwork, please log in to the Broker Portal. Navigate to the Resources tab, then select Product Resources, followed by CareFirst Level Funding.
You’ll find a variety of applications and other forms available. Contact your Account Manager or Broker Representative to ensure you’re using the correct forms. Please choose from the list below:
2025 – All Groups – GHMSI and CFMI