2026 TBA GROUP INSURANCE DOCUMENT CENTER
  

Rates & Plan Options

2026 Group Health, Dental, Vision and Term Life Rates
2026 TBA BlueCross BlueShield Plan Options/Welcome Kit

BCBST Health Summary of Benefits & Coverage

Please distribute the Summary of Benefits and Coverage (SBC) to all benefit-eligible employees, regardless of their current enrollment status. If your firm offers all four health plan options, distribute the SBC for each. If fewer plans are offered, only distribute the SBCs relevant to your practice.

Health Plan Option 1 Summary of Benefits and Coverage
Health Plan Option 2 Summary of Benefits and Coverage
Health Plan Option 3 Summary of Benefits and Coverage
Health Plan Option 4 Summary of Benefits and Coverage

Employee Enrollments, Changes & Waivers

Submit a completed Employee Enroll/Change/Waive Form for employees who are new enrollees or making changes to their 2026 benefits.

Important: Each form must be named using the following format before uploading to the TailorWell portal.

2026_EmployerName_EmployeeFirstName_EmployeeLastName (example: 2026_TBAInsurance_Autumn_Chandler)

Incorrectly named files may be delayed or rejected.

Coverage Terminations

The Coverage Termination Request Form must be completed for any employee terminating coverage. Upload the completed form to the TailorWell portal.

Life Insurance Beneficiary Elections

The Companion Life Beneficiary Election Form must be completed by all employees newly enrolled in the life plan(s), or who are updating their beneficiaries. The Group Policy Number is 550-25-S6251-000. Please leave the Employee ID Number field blank. Employers are responsible for retaining a copy of each form. Submission to TBA Insurance is not necessary.

2026 Employer Elections Form

2026 Renewal: Employer Elections

Questions?

Please contact Autumn Chandler at autumn@assoc-admin.com or 800.347.1109, ext. 264.