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.
BluePreferred PPO - Small Group On-SHOP Applications - Virginia
BluePreferred PPO (including HSA/HRA)
| Group Size | Group Subscriber Enrollment Form | Group Contract Application |
|---|---|---|
| 2-50 | SUM6617 (for plans effective between 1/1/24 and 12/31/24) SUM6925 (for plans effective 1/1/25 and after) |
VAGRPAPP-HCR (R. 1-24) (for plans effective between 1/1/24 and 12/31/24) VAGRPAPP-HCR (R. 1-25) (for plans effective 1/1/25 and after) |