RESOURCE CENTER

Client Service Forms
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05.21.2012
Value Based Benefits - Setup Form
CBC launched Value Based Benefits on 7/2012 for large groups with 100+ employees. Employers can choose from 6 health incentive programs. The form is required to setup a group with the program.
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04.27.2011
Employee Enrollment form (2-50 size)
CBC employee enrollment/change form (as of 2/2010)
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04.27.2011
HIPPA Disclosure form
CBC branded form to be completed by the member in order for PHI to be disclosed to a 3rd party
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