Common Health Plan Service Needs

• Enroll or Change Coverage
  • New Enrollees
  • Adding Dependents
  • Change Marital Status, Name, Address, Email, Phone
  • Enrollment and Change Application
    
    
• Beneficiary Change
  • Beneficiary Change Form
    
    
• New Employee and I am declining coverage
  • Declination of Coverage Form
    
    
• Still employed but I wish to cancel my spouse or dependent's coverage
  
  • Cancellation of Coverage Form
    
    
• Leaving employment and I wish to Request or Reject continuation coverage 
  (For firms less than 20 employees NOT eligible for COBRA)
  • Request/Reject Continuation of Group Health Coverage
    
    
• Billing Questions
  • NCBA HBT Health Plan Billing FAQ's