Vision - Virginia
CareFirst Vision
Group Size | Group Subscriber Enrollment Form | Group Contract Application |
---|---|---|
2-50 Renewing (Grandfathered/Non-ACA) BlueVision Plus |
CUT5150 | N/A |
2-50 (New & Renewing Groups) BlueVision Plus |
SUM2031 | VA/GRPAPP/HCR (1/14) (D-V Only) (for plans effective prior to 12/31/18) VA/GRPAPP/HCR (1/19) (D-V Only) (for plans effective between 1/1/19 and 4/30/19) VA/GHMSI/DN-VS ONLY/GCA (11/18) (for plans effective 5/1/19 and after) |
51+ Groups (New & Returning Groups) BlueVision Plus |
SUM2710 | VA/GHMSI/GCA/LG (1/14) (BP, HB(PPO), & DN-VS Only) (for plans effective prior to 5/1/19) VA/GHMSI/DN-VS ONLY/GCA (11/18) (for plans effective 5/1/19 and after) |