Skip to Content (Press Enter)

Agent News

Important application changes that affect 1095 reporting

Arkansas Blue Cross and Blue Shield and Health Advantage recently made changes to a handful of group and employee applications, and change request forms. Some of these changes are related to your ability to accurately produce 1095 reports. Please refer to the details listed below to see what changes were made on the new applications.

Arkansas Blue Cross And Health Advantage Medical
Group Application with Medical Questionnaire English & Spanish Versions
  • Added TAX ID (EIN) for 1095 reporting
  • Revised look
  • Minor changes and corrections (Ex: If the employee is waiving coverage, the app now directs them to complete the correct section, 10, rather than 9)
Group Employee Application
  • Added TAX ID (EIN) for 1095 reporting
  • Revised look
  • Wording changes to make the language more consistent throughout the application (Ex: “Is the employee waiving coverage?” became “Are you waiving plan coverage?”)
Change Request Form
  • Added 1095 reporting transfer option
  • Significantly revised look
  • Corrected address for customer accounts
Arkansas Blue Cross Ancillary
Dental Application and Change Form
  • Added option for waiving coverage
  • Revised for clearer instructions
Vision Application and Change Form
  • Added option for waiving coverage
  • Revised for clearer instructions