For Brokers
Program Information
Benefits Program Information
General Information
- Health Program Overview
- Health Program Plan Descriptions 2023
- Health Program Plan Descriptions 2022
- Broker Commission ACH Form
- Group Administrative Guide
- Video: BCBSAZ’s Comprehensive Association Health Plan
- Medicare Part D – 2022 Creditable Coverage Status Letter
- Medicare Part D – 2022 Creditable Coverage Cover Letter
New Group Setup Paperwork
New Group Setup Application and Forms
Medical Plan Information – Blue Cross Blue Shield of Arizona
2023 Plan Year
2023 Summary of Benefit Coverages
- AZTC PPO 5000/100 SBC
- AZTC PPO 7900/100 SBC
- AZTC PPO 500/90 SBC
- AZTC PPO 1000/90 SBC
- AZTC PPO 500/80 SBC
- AZTC PPO 750/80 SBC
- AZTC PPO 1000/80 SBC
- AZTC PPO 1500/80 SBC
- AZTC PPO 2000/80 SBC
- AZTC PPO 2500/80 SBC
- AZTC PPO 3000/80 SBC
- AZTC PPO 4000/80 SBC
- AZTC PPO 5000/80 SBC
- AZTC PPO 6000/80 SBC
- AZTC PPO 1000/70 SBC
- AZTC PPO 2000/70 SBC
- AZTC PPO 3000/70 SBC
- AZTC HSA 1500/80 SBC
- AZTC HSA 3000/80 SBC
- AZTC HSA 4500/80 SBC
- AZTC HSA 3500/100 SBC
- AZTC HSA 6900/100 SBC
Benefit Booklets
Plan Specific Attachments
- AZTC PPO 5000/100
- AZTC PPO 7900/100
- AZTC PPO 500/90
- AZTC PPO 1000/90
- AZTC PPO 500/80
- AZTC PPO 750/80
- AZTC PPO 1000/80
- AZTC PPO 1500/80
- AZTC PPO 2000/80
- AZTC PPO 2500/80
- AZTC PPO 3000/80
- AZTC PPO 4000/80
- AZTC PPO 5000/80
- AZTC PPO 6000/80
- AZTC PPO 1000/70
- AZTC PPO 2000/70
- AZTC PPO 3000/70
- AZTC HSA 1500/80
- AZTC HSA 3000/80
- AZTC HSA 4500/80
- AZTC HSA 3500/100
- AZTC HSA 6900/100
Medical Marketing Material
- Welcome Guide for New BCBSAZ Members
- Video: BCBSAZ’s Comprehensive Association Health Plan
- 2023 Medical and Dental Plan Product Guide
- AZTC Medical/Dental Flyer
- BlueCare Anywhere Telehealth App
- Find a Doctor Tool
- Seeking Care Away from Home
- PayForward Cash Back Rewards Program
- Mobilize AZ Diabetes: Get Smart about Diabetes
- Welvie Online Program: To guide you through the surgery decision making process
Commonly Used Forms
2022 Plan Year
Summary of Benefit Coverages
- Statewide
- AZTC 2022 PPO 5000/100 SBC Statewide
- AZTC 2022 PPO 7900/100 SBC Statewide
- AZTC 2022 PPO 500/90 SBC Statewide
- AZTC 2022 PPO 1000/90 SBC Statewide
- AZTC 2022 PPO 500/80 SBC Statewide
- AZTC 2022 PPO 750/80 SBC Statewide
- AZTC 2022 PPO 1000/80 SBC Statewide
- AZTC 2022 PPO 1500/80 SBC Statewide
- AZTC 2022 PPO 2000/80 SBC Statewide
- AZTC 2022 PPO 2500/80 SBC Statewide
- AZTC 2022 PPO 3000/80 SBC Statewide
- AZTC 2022 PPO 4000/80 SBC Statewide
- AZTC 2022 PPO 5000/80 SBC Statewide
- AZTC 2022 PPO 6000/80 SBC Statewide
- AZTC 2022 PPO 1000/70 SBC Statewide
- AZTC 2022 PPO 2000/70 SBC Statewide
- AZTC 2022 PPO 3000/70 SBC Statewide
- AZTC 2022 Saver HSA 1500/80 SBC Statewide
- AZTC 2022 Saver HSA 3000/80 SBC Statewide
- AZTC 2022 Saver HSA 4500/80 SBC Statewide
- AZTC 2022 Saver HSA 3500/100 SBC Statewide
- AZTC 2022 Saver HSA 6900/100 SBC Statewide
- PimaConnect
- AZTC 2022 PPO 5000/100 SBC PimaConnect
- AZTC 2022 PPO 7900/100 SBC PimaConnect
- AZTC 2022 PPO 500/90 SBC PimaConnect
- AZTC 2022 PPO 1000/90 SBC PimaConnect
- AZTC 2022 PPO 500/80 SBC PimaConnect
- AZTC 2022 PPO 750/80 SBC PimaConnect
- AZTC 2022 PPO 1000/80 SBC PimaConnect
- AZTC 2022 PPO 1500/80 SBC PimaConnect
- AZTC 2022 PPO 2000/80 SBC PimaConnect
- AZTC 2022 PPO 2500/80 SBC PimaConnect
- AZTC 2022 PPO 3000/80 SBC PimaConnect
- AZTC 2022 PPO 4000/80 SBC PimaConnect
- AZTC 2022 PPO 5000/80 SBC PimaConnect
- AZTC 2022 PPO 6000/80 SBC PimaConnect
- AZTC 2022 PPO 1000/70 SBC PimaConnect
- AZTC 2022 PPO 2000/70 SBC PimaConnect
- AZTC 2022 PPO 3000/70 SBC PimaConnect
- AZTC 2022 Saver HSA 1500/80 SBC PimaConnect
- AZTC 2022 Saver HSA 3000/80 SBC PimaConnect
- AZTC 2022 Saver HSA 4500/80 SBC PimaConnect
- AZTC 2022 Saver HSA 3500/100 SBC PimaConnect
- AZTC 2022 Saver HSA 6900/100 SBC PimaConnect
- Alliance
- AZTC 2022 PPO 5000/100 SBC Alliance
- AZTC 2022 PPO 7900/100 SBC Alliance
- AZTC 2022 PPO 500/90 SBC Alliance
- AZTC 2022 PPO 1000/90 SBC Alliance
- AZTC 2022 PPO 500/80 SBC Alliance
- AZTC 2022 PPO 750/80 SBC Alliance
- AZTC 2022 PPO 1000/80 SBC Alliance
- AZTC 2022 PPO 1500/80 SBC Alliance
- AZTC 2022 PPO 2000/80 SBC Alliance
- AZTC 2022 PPO 2500/80 SBC Alliance
- AZTC 2022 PPO 3000/80 SBC Alliance
- AZTC 2022 PPO 4000/80 SBC Alliance
- AZTC 2022 PPO 5000/80 SBC Alliance
- AZTC 2022 PPO 6000/80 SBC Alliance
- AZTC 2022 PPO 1000/70 SBC Alliance
- AZTC 2022 PPO 2000/70 SBC Alliance
- AZTC 2022 PPO 3000/70 SBC Alliance
- AZTC 2022 Saver HSA 1500/80 SBC Alliance
- AZTC 2022 Saver HSA 3000/80 SBC Alliance
- AZTC 2022 Saver HSA 4500/80 SBC Alliance
- AZTC 2022 Saver HSA 3500/100 SBC Alliance
- AZTC 2022 Saver HSA 6900/100 SBC Alliance
Benefit Booklets
Plan Specific Attachments
- AZTC PPO 5000/100
- AZTC PPO 7900/100
- AZTC PPO 500/90
- AZTC PPO 1000/90
- AZTC PPO 500/80
- AZTC PPO 750/80
- AZTC PPO 1000/80
- AZTC PPO 1500/80
- AZTC PPO 2000/80
- AZTC PPO 2500/80
- AZTC PPO 3000/80
- AZTC PPO 4000/80
- AZTC PPO 5000/80
- AZTC PPO 6000/80
- AZTC PPO 1000/70
- AZTC PPO 2000/70
- AZTC PPO 3000/70
- AZTC HSA 1500/80
- AZTC HSA 3000/80
- AZTC HSA 4500/80
- AZTC HSA 3500/100
- AZTC HSA 6900/100
Medical Marketing Material
- Welcome Guide for New BCBSAZ Members
- Video: BCBSAZ’s Comprehensive Association Health Plan
- 2022 Medical and Dental Plan Product Guide
- AZTC Medical/Dental Flyer
- BlueCare Anywhere Telehealth App
- Find a Doctor Tool
- Seeking Care Away from Home
- PayForward Cash Back Rewards Program
- Mobilize AZ Diabetes: Get Smart about Diabetes
- Welvie Online Program: To guide you through the surgery decision making process
Commonly Used Forms
Dental Plan Information – Blue Cross Blue Shield of Arizona
Dental Overview and Marketing Material
Vision Plan Information – VSP
Group Vision Care Policy
Life/AD&D & Disability – MetLife
Life/Supp Life/AD&D Plan Summaries
Life/Supp Life/AD&D Certificates
Long-Term Disability Plan Summaries
Short-Term Disability Plan Summaries
Short-term Disability Plan 1: 13 Weeks
Short-term Disability Plan 1: 26 Weeks
Short-term Disability Plan 2: 13 Weeks
Short-term Disability Plan 2: 26 Weeks
Short-term Disability Plan 3: 13 Weeks
Short-term Disability Plan 3: 26 Weeks
Short-term Disability Plan 4: 13 Weeks
Short-term Disability Plan 4: 26 Weeks