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A- rated carrier
3+ Groups
Simple contracting
Reference, if you cannot locate the zip prefix, email us the zip code and we will provide a status and any further information.
Area by Zip Code Preface (4 pages)
Appointment packets are submitted online to speed up the process.
See packet for full instructions. Contact us to answer questions or check the status.
Download Bright Benefit's Census form
*Required to enroll groups. Include with group enrollment forms and/or application.
State forms available by request or go to bottom of this page.
Don't forget Bright Benefits Vision Plan Options
Bright Benefits offers plan rates instantly on Vision plans too!
Vision Plan Proposal Packets include everything you need to give your client a quote for an employee Vision plan;
Because adding a Vision plan to your client’s employee’s benefits package should be simple.
Once your group has selected the plan type select from forms that apply to location. Forms are fillable online and can be submitted securely via carrier website. Contact us with questions or technical difficulties. Follow directions on instruction pages in application and enrollment documents. For assistance contact us immediately and we will help resolve any issues.
Getting appointed is quick and easy.
These states require state specific applications and/or enrollment-change forms. Alaska, Arkansas, California, Indiana, Kansas, Kentucky. Louisiana, Maryland, Maine, Minnesota, New Hampshire, New York, Ohio, Oklahoma, Pennsylvania, Tennessee, Utah, Vermont, Virginia
Use General group application and/or Enrollment form for states that do not have specific form requirements. Contact us with any questions or assistance completing forms.