- Health Insurance Election Form
- BCBSVT Group Enrollment Form
- HSA Direct Deposit Authorization and Cancellation Form
- Statement of Domestic Partnership
- Vermont Declaration of Coverage
- Summary of BlueCross BlueShield Benefits
- Preventative Care Guide
- Wellness Drug List
- HSA Over the Counter Items Requiring Prescription
Health Plan Contract Documents
- Summary Plan Description
- Plan J and Comprehensive Certificate of Coverage
- BCBSVT Benefits Enhancement Rider
- BCBSVT Prescription Drug Rider
- BCBSVT Preventive Care Rider
- BCBSVT Vision Examination Rider
- Wellness Drug Rider
- Delta Dental Enrollment Form
- Summary of Delta Dental Benefits
- Delta Dental Vision Benefits
- Delta Dental Access Instructions
Life & Long Term Insurances
- Beneficiary Change Form
- Life Insurance Application
- Life Insurance Plan Details
- Long-Term Disability Plan Details
Access to BCBSVT
Login to the Blue Cross Blue Shield website. From the Blue Cross Blue Shield website you can access your coverage history, find providers and order prescriptions.
- Once on the BCBSVT website, click Member at the top of the page.
- Then click LOGIN or REGISTER at the bottom of the page.
- Using your ID card and personal information you can setup an account for access to all BCBSVT services.
Access to HealthEquity
- Log in at the HealthEquity website.