Group maintenance

Changing your group’s contact name and address

If you have 2 to 50 employees, you can submit a Small Employer Group Change Form (F7142) or your group’s letterhead, signed by the business owner or authorized signer. You can fax it to us at (651) 662-7544 or mail it to:

Blue Cross and Blue Shield of Minnesota
PO Box 64560
Route M340
Attn: Group Setup Department
St. Paul, MN 55164

If the change is due to a change in ownership, please contact your agent or marketing representative for details on how to proceed.

Adding a new employee

If you have 2 to 50 employees, have the employee complete a Small Group Employee Application (F5944) and fax or mail it to:
Blue Cross and Blue Shield of Minnesota
PO Box 64024
St. Paul, MN 55164
(651) 662-7258 (fax)

An employee’s application must be received by Blue Cross within 30 days of the employee's eligible start date to obtain the desired effective date.

DownloadsSmall Group Employee Application (PDF) Small Employer Group Change Form (PDF) Get Acrobat Reader ExternalLink