BlueCross BlueShield of IL

---

Enrollment

• Employer Application
• Employee Application
• New Case Submission Checklist
• New Case Producer Transmittal
• Census Template (Small Group or Middle Market)

Marketing Materials

• Dearborn National Portfolio
• Vision Care
• Accident Overview: 50+ Employees
• Critical Illness 50+ Employees

Humana

---

Forms

• Employer Group Application – Employer Application
• Employee Enrollment/Waiver Form – Employee Application

Marketing

Vision	Life
Fully Insured Vision Rate Card	Life Brochure
	Dental
	Extended Annual Maximum
	Enhanced Preventative Care
	Unlimited Annual Maximum
	Rider-Preserve Annual Maximum for Preventative Services
	Implant Benefit

Allied

---

By clicking on this link, you will be redirected to Allied’s website for the most up-to-date materials.

Allied Self Funding Advantage Marketing Material & Forms

For Licensing/Contracting contact Marianne Puzzello at   mpuzzello@resourcebrokerage.com

MetLife

---

MetLife Marketing Materials

Tasc Flex

---

TASC Application

Marketing Material for: FlexSystem Plan, DirectPay, CobraToday and Felx System HSA* - Email ncardenas@resourcebrokerage.com

ERISAEdge

• ERISAEdge Checklist
• ERISAEdge Notices Flyer
• ERISAEdge POS Brochure
• ERISAEdge Product Flyer
• ERISAEdge Required Information Form
• ERISAEdge Compliance Corner
• ERISAEdge Service Pricing

Reliance Standard

---

Contact Marianne Puzzello, Licensing Coordinator (847.588.0020), to ensure Reliance Standard licensing documentation is complete PRIOR to submission of new business cases.

Enrollment

• Employer Enrollment Form 5/12
• Evidence of Insurability

Marketing Materials

• Smart Choice Highlight
• Dental Highlight 8/12
• Life & AD&D Highlight 10/12
• Long Term Disability 10/12
• Top 10 Reasons for LTD with Reliance Standard
• Short Term Disability 10/12
• RSL SmartChoice Products 4/10
• Need to find a dentist? Click Here

Resource Brokerage

1501 East Woodfield Road, Ste 110e
Schaumburg, IL 60173
Toll Free: 1-800-605-7566
General Phone: (847) 605-1200

Employee Benefits

Phone: (847) 592-0941
Fax: (847) 605-1494

Individual & Medicare

Phone: (847) 598-6006
Fax: (847) 605-1331

Linked Benefits LTCi, DI & CI

Phone: (847) 598-6005
Fax: (847) 619-9592

Employee Benefits

• Group Health Forms & Marketing
• Group Ancillaries

Individual

• Individual Health Forms & Marketing
• Individual Health Ancillaries

Medicare

• Medicare Supplement
• MAPD
• PDP
• MedicareCenter Software
• CSG Medicare Supplement Quoting

Linked Benefits LTCi

• Linked Benefits
• Linked Benefits/LTCi Quotes
• Traditional LTCi