Forms and Documents
The table below lists a variety of forms that are useful to you in administering
your employee benefits program. Please click on the document name below to save the
file to your hard drive.
ShoberEBS Employee Demographic Census Worksheet
BCBSNC Employer Risk Appraisal Form
Form to evaluate employer risk for group medical.
BCBSNC Enrollment and Change Application (25 or more)
Form to enroll or change enrollment for 25 or more employees.
BCBSNC Enrollment and Change Application (1 to 25)
Form to enroll or change enrollment with health questions for 1 to 25 employees.
BCBSNC Decline Coverage Form
Employee declination of coverage form.
BCBSNC Application for Coverage
Coverage application for companies with 1 to 50 employees.
BCBSNC Application for Coverage
Coverage application for companies with 51 to 249 employees.