All forms should be sent by e-mail or fax to VBS for processing.  If you do not see the form you need, please let us know.

BC/BS of Vermont:

• Group Enrollment Form
• Group Membership Update
• Student Certification Form
• Domestic Partner Certification
• Prior Approval Request
• Subscriber Claim Form
• Prescription Reimbursement Form

VACE Cigna:

• Enrollment Change Form
• Domestic Partnership Form
• Prescription Drug Claim Form
• Preventative Drug List

VACE Delta Dental:

• Enrollment Change From
• Termination Form

MVP:

• Enrollment Form
• Student Waiver
• Medical Claim Form
• Prescription Claim Form

Delta Dental:

• Enrollment Change Form
• Termination Form