Employer enrollment platform resources
Make enrollment changes with confidence with the Employer Enrollment Tool
Guides and checklists
- Employer enrollment tool user guide (PDF, 11 MB)
- New group enrollment checklist (PDF, 118 KB)
- Enrollment spreadsheet (Excel, 1.1 MB)
- MGA eSignature instructions (PDF, 4.7 MB)
- Underwriting guidelines
- Rate tables
- EET flier (PDF, 56 KB)
Enrollments not supported digitally
While most enrollments can be processed online through EET, there are a few scenarios that still require an application.
- Reinstate a group
- Anniversary date change
- Add or edit dual waiting period
- Add or edit subgroup
- Enroll court-ordered dependent
- Edit canceled subscriber information (address, demographics) after the reinstatement period ends While most enrollments can be
- Submit Over-age dependent exception forms
Streamlined renewal and maintenance eligibility with the Employer Enrollment Tool
SBM (1-100) Renewal Eligibility – Who can renew?
A group with an existing Blue Shield group health service contract is eligible for guaranteed renewal if:
- It is a group of one or more common-law employees;
- It has made all required premium payments
- Neither it not its employees or dependents have committed fraud or misrepresentation;
- It maintains the required 51% of its employees (full-time and full-time equivalent) in California;
- It continues to meet participation and contribution requirements; and
- It has otherwise maintained small group eligibility
Read the Underwriting Guidelines for all enrollment eligibility rules
Middle Markets (100+) Maintenance Eligibility
Electric Data Interchanges and the Employer Enrollment Tool can be used together.
We recommend using the enrollment tool while your EDI connection is being set up, or for access to care enrollments.
The EDI file is the source of truth and will overwrite changes only made to the Employer Enrollment Tool, and we will not allow open enrollment changes in the enrollment tool if you also use an EDI file
Explore documents, videos, and links to help you with quotes and enrollments.
Navigation help
Access links under the Small Business and Large Group navigation will route you to the same homepage in EET
- Broker homepage navigation (2:00)
- Employer homepage navigation (2:10)
- Group account navigation (2:56)
- Member account navigation (1:07)
- Document uploads (0:57)
New group enrollment
Enrollment begins on Employer Information with the collection of basic group info (name, address, # of enrolling, etc.)
- Start a quote (3:27)
- View quotes (0:50)
- Start an enrollment (9:34)
- View enrollments (1:04)
- Upload documents (0:57)
Benefits Management
Member-level changes
To initiate a member maintenance record change, find the group and then the member. Navigate to the Group Account page and click on the Member Roster tab. The tab displays the current contract period employees. Select an employee from the roster by clicking on the name.
- Employee Enrollment (6:29)
- Add dependents (1:58)
- Order member ID cards (0:37)
- Cancel employee (1:04)
- Member demographics (1:25)
- Member contact and class (1:56)
- Add/edit member plans (1:30)
- Cancel member plans (1:17)
- Existing member COBRA enrollment (1:18)
Group-level changes
To begin a maintenance record change, select your company. Click on the blue account name to open the account record page. The account record page displays information regarding your company. This is the launch point for all group and member transactions. The screen is split up into different sections and tabs to organize the group’s information. Click through the tabs and sections to view the current information on file.
- Group address (1:04)
- Cancel group (1:00)
- Class plans *Small Business only (0:33)
- Add products / plans *Small Business only (2:19)
- Cancel products / plans *Small Business only (1:46)
- Group name and structure change *Small Business only (0:41)
- Bill by department code *Small Business only (0:24)
Small business renewal resources
View real-time renewals
View your client's coverage and offerings before making renewal changes for both group and member level renewal changes.
This information is updated real time as changes occurring in EET or other channels are submitted and processed by Blue Shield.
You can also view the renewal information and decide to not make changes and exit out of the workflow by clicking on Cancel.
- Broker training recording (40:11)
- Renewal navigation (2:03)
- Start Renewal submission (2:40)
- Start Open Enrollment submission (2:18)
- Renewal quoting (1:14)
- Renewal center