Benefit Consulting Group, Inc. (989) 772-4969

Company Downloadable Forms

This page contains links to all company downloadable forms. To save or download a form, right click on "download form" and select "Save Target As" (Internet Explorer) or "Save Link As" (Netscape). Once the form is saved to your computer, you can make changes to it as needed. Please notice that all completed forms are to be faxed, mailed, or hand delivered; we currently do not accept e-mail completed forms.

Note: if you are using Internet Explorer and Microsoft Office and left click on "download form," you will not be able to make changes to the form and save it without switching to Offline mode (see Help in Internet Explorer). Due to the integration of Microsoft's Internet Explorer with Office applications, downloaded Excel and Word documents open in Internet Explorer by default (you can avoid this by right clicking as instructed above). When you make changes to the file and attempt to save it, IE tries to save it to the web server, which is not permitted. However, if certain changes are made on the local PC the file can be opened in the original Office applications when it is downloaded. See the following Microsoft Knowledgebase article for instructions. We do not assume any responsibility for modifications or out of date forms.

Click the Acrobat® Reader button above to download Adobe® Acrobat® Reader or to get the latest version at http://www.adobe.com.

Company Brochures	Format	Forms	Format
BCG Brochure 2002	(Acrobat® Reader)	Blue Cross/Blue Shield Enrollment Form	(Acrobat® Reader)
BCG Brochure 2006	(Acrobat® Reader)	Dependent Dare Care Provider Receipt	(Acrobat® Reader)
HRA Brochure	(Acrobat® Reader)	Beneficiary Designation	(Acrobat® Reader)
Privacy Policy	(Acrobat® Reader)	Beneficiary Designation	(Microsoft® Word®)
		Authorization to Disclose Medical Information for Customer Service	(Acrobat® Reader)
Company Documents	Format	Authorization to Disclose Medical Information for Customer Service	(Microsoft® Word®)
Isabella County Exclusive PPOM List	(Acrobat® Reader)	Flexible Benefits Plan Enrollment & Payroll Reduction Authorization Form	(Acrobat® Reader)
PHO Providers Listing (Nov. 2005)	(Acrobat® Reader)	Flexible Benefits Plan Enrollment & Payroll Reduction Authorization Form	(Microsoft® Word®)
PHO Providers Listing (Nov. 2005)	(Microsoft® Excel®)	Flexible Benefits Plan Request for Reimbursement	(Acrobat® Reader)
Website Disclaimer	(Acrobat® Reader)	Flexible Benefits Plan Request for Reimbursement	(Microsoft® Word®)


Government Forms*	Format
Dependent Care Provider’s Identification and Certification	(Acrobat® Reader)
Medical & Dental Expenses (Including Health Coverage Tax Credit) (P502)	(Acrobat® Reader)
Child & Dependent Care Expenses (P503)	(Acrobat® Reader)