Thank you for choosing Blue Cross and Blue Shield of New Mexico as the provider of health care coverage for your employees.
Our Group Administrator Manual includes the following materials:
- Group Master Contract, BCBSNM Products
- Group Master Contract, HMO Products
- Group Proxy Form
- Instructions Pertaining to Group Administration
- Billing Guidelines
- HCSC COBRA Agreement
- COBRA Endorsement B – Waiver of COBRA Administrator
- Group Enrollment/Change Application — English
- Group Enrollment/Change Application — Spanish
- Group Employee Termination Form
- Waiver of Insurance — English
- Waiver of Insurance — Spanish
- Employee Medical Disclosure Statement for group sizes 51+ — English
- Employee Medical Disclosure Statement for group sizes 51+ — Spanish
- Prescription Drug Claim Form
- PrimeMail Prescription Drug Mail-Order Form — English
- PrimeMail Prescription Drug Mail-Order Form — Spanish
- Coordination of Benefits Form
The information listed above is available as PDF files. If you do not have Adobe® Reader®, download it free of charge at Adobe's site. Just click on any form, print it, fill in all information, and mail it to us.
The Group Master Contract, Benefit Booklet, and Group Enrollment/Change Application comprise your agreement with BCBSNM.
If you have any questions about your coverage, please contact your insurance broker, your sales representative at (505) 837-8787, or our sales support team at (505) 837-8990. Our toll-free number is 1-800-672-9700.
You can also e-mail us.
