Completing the Employer Questionnaire and Application for Anthem MCF BP

As the HR Manager, you'll be required to complete both an Employer Questionnaire and Application for Anthem MCF BP. And you can do this from within your FormFire account!

When you log in, select Update Employer Medical from the HR Dashboard. This will take you directly into the Employer Interview in FormFire.

When the Employer Interview is complete, this will populate the Employer Questionnaire (Prescreen) and the Employer Application (Sold Group). These items are automatically attached by FormFire with each submission sent by your Insurance Broker to the Carrier. This article will act as a reference guide for you, highlighting each question that is required to produce either a completed Questionnaire and Application. 

The yellow fields are required for the Employer Questionnaire. Both the yellow and blue fields are required for the Employer Application.

Employer Interview

 Contribution- 2 Tier for Questionnaire 

Contribution- 4 Tier for Application

 

Contribution - Continued

The following pages will ask you to review documents and electronically sign. Once signed, the interview is considered complete.