Please be advised, the Broker Portal and Broker Express will undergo maintenance from 3 pm Friday 4/19th to 4 am Monday 4/22nd The applications will be inaccessible during this time.
BlueChoice Advantage Group and Member Applications - Virginia
BlueChoice Advantage
| Group Size | Group Subscriber Enrollment Form | Group Contract Application | Point of Enrollment |
|---|---|---|---|
| 2-50 (product other than VA E&S) | CUT6986 | N/A | N/A |
| 51+ (product other than VA E&S) | CUT6986 | VA/CFBC/GCA/LG (R. 3/14) (BCAdv, HBAdv) | VA/GHMSI/CFBC/ POE/GCA/LG (R. 3/14) |