Small Group Enrollment Form
New / Existing Customers
With our easy to use Online Group Enrollment Form you can enroll employees in a simple, fast and convenient manner. Use the tool to create a group account and / or add employees to your existing group account. Once you've created a group account, you can submitted applications for each employee.We want your feedback! Share your comments, questions, concerns or suggestions by emailing us at WebMaster@bcbsvt.com. Remember, your feedback helps us create tools more suited to your needs.
Note: The online group enrollment form is a 3rd party application.
Group Application / Create Account