Blue Cross Blue Shield of Louisiana
2024 BCBS Forms
2023 Forms (Click here for 2023 forms)
QUALIFYING EVENTS - WHEN YOU HAVE A QUALIFYING EVENT (QE) SUCH AS BIRTH, ADOPTION, MARRIAGE, DIVORCE, OTHER INSURANCE, ETC. YOU HAVE 30 DAYS FROM THE DATE OF THE QE TO NOTIFY THE INSURANCE DEPARTMENT AND FILL OUT EITHER AN APPLICATION OR A CANCELATION FORM. ALL APPLICATIONS MUST BE ACCOMPANIED BY MARRIAGE CERTIFICATES, IF ADDING A SPOUSE AND BIRTH CERTIFICATES, IF YOU ARE ADDING DEPENDENTS.