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HealthyBlue Advantage - Small Group Off-SHOP Applications - Virginia
HealthyBlue Advantage (including HSA/HRA)
| Group Size | Group Subscriber Enrollment Form | Group Contract Application | Point of Enrollment |
|---|---|---|---|
| 2-50 | SUM5063 (for plans effective 1/1/21 and 12/31/23) | VA/GRPAPP/HCR (1/23) (POS) | VA/GRPAPP/HCR (1/23) (POE) |