Aetna
Aetna Deadlines 2012.pdf
New Business Checklist MSGR.pdf
New Business Checklist VA DC.pdf
Aetna Prescreen.pdf
Aetna 26+ Group Screener.pdf
Anthem
Anthem Deadlines 2012.pdf
Anthem Lumenos Deadlines 2012.pdf
Anthem 26+ Group Screener.pdf
Anthem Checklist 2011.pdf
Carefirst
Carefirst Deadlines 2012.pdf
Carefirst 2-50 Broker New Business Checklist.doc
Carefirst DC 25+ Screener.pdf
Carefirst VA 25+ Screener.pdf
Carefirst Enrollment Kit Order Checklist.pdf
2011 Census Form.xls
Affiliated Companies Form - MSGR Only.pdf
Coventry
Coventry Deadlines 2012.pdf
Coventry Small Business Checklist.pdf
Coventry 50+ Group Risk.pdf
Kaiser
Kaiser 26+ Group Screener.pdf
United Healthcare
UHC Deadlines 2012.pdf
D_New_Case_Submission_Checklist_2-50.pdf
UHC Ancillary Checklist.pdf
UHC 25+ Group Screener.pdf
NEW Census Form
2011 Census Form.xls
51+ Universal Medical Screener
NFP Group Risk 51+.pdf
Virginia Universal Individual Screener
Generic VA employee medical screener.pdf
Sample Broker of Record Letter
Generic Broker of Record Letter.pdf
Anthem Broker of Record Letter
Anthem BOR Letter.pdf
Carefirst 2012 Broker of Record or Block Transfer Letters
CareFirst BOR Template 2012.docx
CareFirst 2012 BOR & Block Transfer Schedule.pdf
United Healthcare Broker of Record Letter
UHC BOR Letter.pdf
Sample Termination Letter
Term Letter.pdf
Renewal Change Request
Renewal Turn In Form.pdf
Please submit all information regarding renewals to: renewals@potomacbasin.com
Alternate Quote Request
Quote Request Form.pdf
Please send requests for alternate renewal quotes to: quotes@potomacbasin.com