Group Health Insurance

Open enrollment for the TBA exclusive BlueCross BlueShield of Tennessee group health insurance plan is now closed. Enrollment for the 2027 plan year will begin in Fall 2026. Are you interested in our other group health insurance options? With access to all major carriers, we can assist you in finding a plan that meets the needs of your firm.

If you have any questions or would like to obtain a quote, please complete the following form, give us a call at 800.347.1109, or email us at tba@assoc-admin.com. If you prefer a PDF of the Quote Request Form, you can access it here.

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Group Health Insurance Quote Request - Step 1 of 2

Firm Name:

Contact Name:

Physical Address:

City:

State:

Zip Code:

County:

Phone:

Email:

Number of Employees:

Number of Full-Time Employees:

Number of Employees Participating:

Next

Please complete each field for all full-time employees and their participating dependents. For any full-time employees that do not wish to participate, select "Waive".

Name:

Date of Birth:

Home Zip Code:

Gender:Select OneMaleFemale

Relation to Firm:Select OneEmployeeEmployee's SpouseEmployee's Child

Coverage Tier:Select OneEmployee OnlyEmployee + SpouseEmployee + Child(ren)FamilyWaive Coverage

Add Employee/Dependent Remove Employee/Dependent

Additional Information:

of Birth: Number

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