Benefits Connection Exchange

Enrollment Forms      

Benefits Connection applications for Highmark Blue Cross Blue Shield, Aetna, Dental Connection, Vision and HSA Forms are available by clicking on the links below.

These forms may be printed (PDF files), completed forms can be faxed to
302-654-8836 or scanned & emailed to BenefitsConnection@AllenInsurance.com

You may also call our office (302-654-8823) and we will be happy to provide these forms to you.

HMBCBS Logo
Highmark BCBS Employee Enrollment/Change/Waiver Form 
     

Highmark BCBS Group Application  

AETNA Logo
Aetna Employee Enrollment/Change/Waiver Form
  

Aetna Group Enrollment Form      

DentalConnection

Dental Connection Enrollment Form

VSP Logo Vision Application for VSP Vision                 

 

 Chamber Membership Application

 

 

 

Return to Homepage
Get A Quote
Button Group Healthcare Plans 
Button Group Dental Plans 
Button Group Vision Plans
Button Workers Compensation
Button Individual Healthcare
Button How To Get A Quote & Enroll
Button Get Enrollment Forms
Button Meet Our Partners
Button See Our Insurance Companies
Button Contact Us        Our Privacy Notice
 Toll Free: 800.486.1244
 Local: 302.654.8823

Insurance Products provided through
AIG Logo
 Broker since 1980
302-654-8823
Wilmington, DE 19801
Allen@AllenInsurance.com





 
 
 
 

 


  
 

 
 

 
 

 



      
           
   




Insurance News

Fri, 20 Oct 2017 20:24:49 +0000
The first admitted insurance carrier has filed to provide coverage to Calif...
Fri, 20 Oct 2017 16:48:46 +0000
Swiss Re Corporate Solutions has expanded its Executive Risk product offeri...
Fri, 20 Oct 2017 16:46:45 +0000
Brown & Brown of Louisiana LLC, a subsidiary of Florida-based Brown & Brown...