Access the most popular Insurance Documents Online and download files to locate all required appointment documents. We have documents from Blue Cross Blue Shield, Coventry, Golden Rule, Delta Dental Group as well as many others. These files are available for you to download anytime, so make sure to bookmark us for easy access. And of course if you have any questions, we will be happy to offer our assistance regarding these insurance documents online.

When submitting the completed documents to support@bluestarbenefits.com, please remember to include copies of your Kansas and Missouri state licenses as well as a copy of your E&O.

The files below represent only the most requested documents. If you need something else, please don’t hesitate to contact Blue Star Benefits for applications to other supported carriers at 913-307-3603.

Popular Downloads

Broker Application
Broker Application.pdf

Category:	Agentfiles
Date:	April 18, 2012

495.8 KiB
95 Downloads
Details...

Business Referral Form
Business Referral Form.pdf

Category:	Agentfiles
Date:	April 9, 2012

183.1 KiB
69 Downloads
Details...

Contact Sheet
Contact Sheet.pdf

Category:	Agentfiles
Date:	April 9, 2012

207.7 KiB
84 Downloads
Details...

Electronic Fund Transfer
Electronic Fund Transfer.pdf

Category:	Agentfiles
Date:	April 9, 2012

229.6 KiB
75 Downloads
Details...

Group Census
Group Census.pdf

Category:	Agentfiles
Date:	April 9, 2012

275.5 KiB
80 Downloads
Details...

Health Insurance Referral Form
Health Insurance Referral Form.pdf

Category:	Agentfiles
Date:	April 9, 2012

183.8 KiB
80 Downloads
Details...

Individual Census
Individual Census(Required)(2).pdf

Category:	Agentfiles
Date:	October 8, 2012

221.9 KiB
46 Downloads
Details...

Individual Census (Required Info)
Individual Census(Required).pdf

Category:	Agentfiles
Date:	October 3, 2012

221.9 KiB
53 Downloads
Details...

New Broker Checklist
New Broker Checklist.pdf

Category:	Agentfiles
Date:	April 9, 2012

198.5 KiB
71 Downloads
Details...

W-9
W-9.pdf

Category:	Agentfiles
Date:	April 9, 2012

33.3 KiB
76 Downloads
Details...

Application files for Blue Cross Blue Shield of Kansas City

2012 BlueOptions
2012 BlueOptions_11-1-11_FINAL.pdf

Category:	BCBSKC
Date:	August 10, 2012

3.2 MiB
77 Downloads
Details...

BCBSKC Dental Brochure
2012 BCBSKC Dental Brochure.PDF

Category:	BCBSKC
Date:	August 10, 2012

616.6 KiB
65 Downloads
Details...

BCBSKC Ruling
BCBSKC Ruling.pdf

Category:	BCBSKC
Date:	July 6, 2012

53.6 KiB
86 Downloads
Details...

Blue Cross Blue Shield Individual Application
BCBSKC Indiv. Application Pre-coded 11-9-2011.pdf

Category:	BCBSKC
Date:	April 17, 2012

458.5 KiB
84 Downloads
Details...

Dental Application
MKT_Individual Dental_1-11.pdf

Category:	BCBSKC
Date:	May 15, 2012

79.8 KiB
80 Downloads
Details...

Direct Enrollment
Direct Enrollment-4-12 release-clean.pdf

Category:	BCBSKC
Date:	May 15, 2012

109.8 KiB
99 Downloads
Details...

Group Application Supplement
Group Application Supplement.pdf

Category:	BCBSKC
Date:	March 29, 2012

67.5 KiB
139 Downloads
Details...

Group Employee Application 2-99 10-1-2011
Employee Application 2-99 10-1-2011.pdf

Category:	BCBSKC
Date:	March 29, 2012

108.8 KiB
70 Downloads
Details...

Group Employer Application 2-99 10-1-2011
Employer Application 2-99 10-1-2011.pdf

Category:	BCBSKC
Date:	March 29, 2012

44.9 KiB
88 Downloads
Details...

Group Employer Size Survey
Employer Size Survey.pdf

Category:	BCBSKC
Date:	March 29, 2012

62.4 KiB
83 Downloads
Details...

Group Membership Transmittal
Membership Transmittal.pdf

Category:	BCBSKC
Date:	March 29, 2012

118.5 KiB
100 Downloads
Details...

Medicare Supplement Application
Med Supp-Select Application_8-10.pdf

Category:	BCBSKC
Date:	May 15, 2012

78.0 KiB
91 Downloads
Details...

Member Claim Form
Member Claim Form.pdf

Category:	BCBSKC
Date:	March 29, 2012

50.1 KiB
74 Downloads
Details...

Prescription Reimbursement Form
Prescription Reimbursement Form.pdf

Category:	BCBSKC
Date:	March 29, 2012

164.3 KiB
84 Downloads
Details...

Short Term Application
Application Short Term 08-2009.pdf

Category:	BCBSKC
Date:	May 10, 2012

200.1 KiB
68 Downloads
Details...

Application files for HCC

Atlas Corporate Brochure - Health Insurance For Organizations With Employees Who Travel Internationally
Atlas Corporate Brochure - health insurance for organizations with employees who travel internationally.pdf

Category:	HCC
Date:	March 29, 2012

135.2 KiB
107 Downloads
Details...

Atlas Group Series Brochure - Short Term International Health Insurance For 5 Or More Traveling Abroad
Atlas Group Series Brochure - short term international health insurance for 5 or more traveling abroad.pdf

Category:	HCC
Date:	March 29, 2012

918.6 KiB
72 Downloads
Details...

Atlas Professional Brochure - International Health Coverage For Executives Taking Multiple Trips Throughout The Year
Atlas Professional Brochure - international health coverage for executives taking multiple trips throughout the year.pdf

Category:	HCC
Date:	March 29, 2012

1.4 MiB
57 Downloads
Details...

CitizenSecure Application
CitizenSecure Application.pdf

Category:	HCC
Date:	March 29, 2012

285.4 KiB
71 Downloads
Details...

CitizenSecure Brochure - International Major Medical And Term Life Insurance For Individuals And Families
CitizenSecure Brochure - international major medical and term life insurance for individuals and families.pdf

Category:	HCC
Date:	March 29, 2012

1.3 MiB
75 Downloads
Details...

CitizenSecure Brochure WTU
CitizenSecure Brochure WTU.pdf

Category:	HCC
Date:	March 29, 2012

2.0 MiB
61 Downloads
Details...

CitizenSecure Economy Application
CitizenSecure Economy Application.pdf

Category:	HCC
Date:	March 29, 2012

285.7 KiB
63 Downloads
Details...

CitizenSecure Economy Brochure - Affordable International Medical And Term Life Insurance For Individuals And Families
CitizenSecure Economy Brochure - affordable international medical and term life insurance for individuals and families.pdf

Category:	HCC
Date:	March 29, 2012

1.3 MiB
56 Downloads
Details...

GroupSecure Brochure - International Medical Plan For 3 Or More Employees Working Abroad
GroupSecure Brochure - international medical plan for 3 or more employees working abroad.pdf

Category:	HCC
Date:	March 29, 2012

1.0 MiB
64 Downloads
Details...

GroupSecure Request For Proposal
GroupSecure Request for Proposal.pdf

Category:	HCC
Date:	March 29, 2012

118.0 KiB
75 Downloads
Details...

HCC Life STM Application - Kansas
HCC Life STM Application - Kansas.pdf

Category:	HCC
Date:	March 29, 2012

49.9 KiB
79 Downloads
Details...

HCC Life STM Application - Missouri
HCC Life STM Application - Missouri.pdf

Category:	HCC
Date:	March 29, 2012

59.4 KiB
72 Downloads
Details...

HCC Life STM Brochure - Short Term Temporary Health Insurance For Individuals Living In US
HCC Life STM Brochure - short term temporary health insurance for individuals living in US.pdf

Category:	HCC
Date:	March 29, 2012

60.2 KiB
92 Downloads
Details...

HCC MIS International Flyer 2010
HCC MIS International Flyer 2010.pdf

Category:	HCC
Date:	March 29, 2012

4.0 MiB
60 Downloads
Details...

HCCMIS Sub Agent Contract 24727[1]
HCCMIS_Sub_Agent_Contract_24727[1].pdf

Category:	HCC
Date:	March 29, 2012

141.2 KiB
102 Downloads
Details...

ICPlus International Term Life Brochure - Ten Year Term Life Insurance Available To Individuals Outside Of The US
ICPlus International Term Life Brochure - ten year term life insurance available to individuals outside of the US.pdf

Category:	HCC
Date:	March 29, 2012

42.0 KiB
48 Downloads
Details...

Maritime Citizen Brochure
Maritime Citizen Brochure.pdf

Category:	HCC
Date:	March 29, 2012

1.9 MiB
63 Downloads
Details...

ProducerGuide Eng 0111[1]
ProducerGuide_eng_0111[1].pdf

Category:	HCC
Date:	March 29, 2012

352.1 KiB
202 Downloads
Details...

StudentSecure Brochure - Worldwide Health Coverage For Students Pursuing Their Education Abroad
StudentSecure Brochure - worldwide health coverage for students pursuing their education abroad.pdf

Category:	HCC
Date:	March 29, 2012

1.4 MiB
71 Downloads
Details...

Application files for Avesis

Avesis Summary And Rates
Avesis Summary and Rates.pdf

Category:	Avesis
Date:	April 17, 2012

1.2 MiB
121 Downloads
Details...

Group App W Fields
Group_app_w_fields.pdf

Category:	Avesis
Date:	April 17, 2012

281.5 KiB
90 Downloads
Details...

Group Master App-Blue Star Benefits
Group Master App-Blue Star Benefits.pdf

Category:	Avesis
Date:	April 17, 2012

43.2 KiB
81 Downloads
Details...

Application files for Delta Dental Group

Delta Dental Of KS - 2012 Group Application--10-200 POOL
Delta Dental of KS - 2012 Group Application--10-200 POOL.pdf

Category:	Delta Dental Kansas
Date:	April 17, 2012

21.8 KiB
62 Downloads
Details...

Delta Dental Of KS - 2012 Group Application--2-9 KS ONLY
Delta Dental of KS - 2012 Group Application--2-9 KS ONLY.pdf

Category:	Delta Dental Kansas
Date:	April 17, 2012

26.9 KiB
69 Downloads
Details...

Delta Dental Of KS - 2012 Group Application--VOLUNTARY
Delta Dental of KS - 2012 Group Application--VOLUNTARY.pdf

Category:	Delta Dental Kansas
Date:	April 17, 2012

21.9 KiB
61 Downloads
Details...

Delta Dental Of KS - Enrollment /Change Form
Delta Dental of KS - Enrollment Change Form.pdf

Category:	Delta Dental Kansas
Date:	April 17, 2012

66.4 KiB
66 Downloads
Details...

Application files for KC Life

Application files for Coventry

2011 Kansas Benefit Summaries
2011 Kansas Benefit Summaries.pdf

Category:	Coventry
Date:	October 10, 2012

322.7 KiB
45 Downloads
Details...

2011 Missouri Benefit Summaries
2011 Missouri Benefit Summaries.pdf

Category:	Coventry
Date:	October 10, 2012

322.8 KiB
51 Downloads
Details...

2012 Formulary Prescriptions Covered
2012 formulary prescriptions covered.pdf

Category:	Coventry
Date:	October 10, 2012

247.9 KiB
39 Downloads
Details...

ACH Auth Form
ACH Auth Form.pdf

Category:	Coventry
Date:	October 10, 2012

142.1 KiB
57 Downloads
Details...

KS CoventryOne Application
KS CoventryOne Application.pdf

Category:	Coventry
Date:	October 10, 2012

234.7 KiB
52 Downloads
Details...

MO CoventryOne Application
MO CoventryOne Application.pdf

Category:	Coventry
Date:	October 10, 2012

235.7 KiB
50 Downloads
Details...

Application files for Golden Rule

2012 KS Golden Rule Dental
2012 KS Golden Rule Dental and Vision Brochure.pdf

Category:	Golden Rule
Date:	August 10, 2012

3.1 MiB
51 Downloads
Details...

2012 KS Golden Rule Dental & Vision App
2012 KS Golden Rule Dental & Vision App.pdf

Category:	Golden Rule
Date:	August 10, 2012

255.0 KiB
59 Downloads
Details...

2012 KS Golden Rule Health
2012 KS Golden Rule Health App.pdf

Category:	Golden Rule
Date:	August 10, 2012

587.7 KiB
71 Downloads
Details...

2012 KS Golden Rule Health Brochure
2012 KS Golden Rule Health Brochure.pdf

Category:	Golden Rule
Date:	August 10, 2012

826.4 KiB
73 Downloads
Details...

2012 MO Golden Rule Dental & Vision Brochure
2012 MO Golden Rule Dental & Vision Brochure.pdf

Category:	Golden Rule
Date:	August 10, 2012

3.1 MiB
87 Downloads
Details...

2012 MO Golden Rule Dental and Vision App
2012 MO Golden Rule Dental and Vision App.pdf

Category:	Golden Rule
Date:	August 10, 2012

249.0 KiB
87 Downloads
Details...

2012 MO Golden Rule Health App
2012 MO Golden Rule Health App.pdf

Category:	Golden Rule
Date:	August 10, 2012

602.0 KiB
66 Downloads
Details...

2012 MO Golden Rule Short term Brochure
2012 MO Golden Rule Short term Brochure.pdf

Category:	Golden Rule
Date:	August 10, 2012

415.3 KiB
99 Downloads
Details...

Application files for Humana

HumanaOne KS Individual
HumanaOne KS Individual.PDF

Category:	Humana
Date:	August 10, 2012

924.0 KiB
106 Downloads
Details...

HumanaOne MO Individual
HumanaOne MO Individual.PDF

Category:	Humana
Date:	August 10, 2012

942.0 KiB
85 Downloads
Details...

AARP Files

2012 AARP Part D MO Brochure
2012 AARP Part D MO Brochure.pdf

Category:	AARP
Date:	August 22, 2012

261.3 KiB
52 Downloads
Details...

2012 UHC Part D KS Application
2012 UHC Part D KS Application.pdf

Category:	AARP
Date:	August 22, 2012

253.2 KiB
67 Downloads
Details...

File AARP PDP MO
AARP PDP MO.pdf

Category:	AARP
Date:	August 22, 2012

156.1 KiB
68 Downloads
Details...

Missouri AARP Med Sup application
Missouri AARP Med Sup application.pdf

Category:	AARP
Date:	August 22, 2012

415.0 KiB
115 Downloads
Details...