SBAM Membership & Sponsorship

Member Benefits Guide

SBAM Membership Application

Member Care Team Contacts & FAQs

Rollover Letter for BCBSM/BCN Sponsorship

ACH Form for premium payments

ACH One-Time Form for premium payments

ECOS Form

Notify us of Salary amount changes 

Composite Rating

Composite Rating Calculator

Enrollment Checklist 

Agreement 

Life and Disability

Group Specialty Benefits Brochure

Group Specialty Benefits Summary Brochure

Group Specialty Benefits Quoting Tool

Evidence of Insurability

Group Specialty Benefits Employer Enrollment Form*

Group Specialty Benefits Employee Enrollment Form*

Group Specialty Benefits Beneficiary Designation Form

Group Specialty Benefits Employee Termination Form

Group Specialty Benefits Sold Checklist
Group Specialty Benefits Agent Sell Sheet 

DearbornCares Employer Flyer
DearbornCares Employee Flyer

Group Specialty Benefits Group Benefit Summaries

Group Specialty Benefits Short Term Disability Claim Form
Group Specialty Benefits Long Term Disability Claim Form
Group Specialty Benefits Life Claim Form

Group Specialty Benefits Waiver of Premium Claim Form

COBRA Administration

SBAM COBRA Enrollment Form

SBAM COBRA Contract

COBRA ACH Form 

COBRA Brochure

Rollover Letter for BCBSM/BCN Sponsorship

Kushner Flexible Benefit Administration

Kushner POP-FSA-HRA-Agreement

ACH Form for Kushner

Kushner Brochure

American Society of Employers

Pre-Employment Screening Pricing Sheet

Training and Development Course Guide

BCBSM additions and deletions, Dearborn new business and claims should be submitted to the SBAM office in Lansing via email, online service portal, or mail:

MemberCare@hhvp.net

SBAM Service Portal

Attn: SBAM Member Care Service
101 S Washington Square, Suite 900
Lansing, MI 48933

BCBSM and Dearborn premium checks should be made payable and mailed to the SBAM lockbox in Kalamazoo:

SBIS (Small Business Insurance Services)
PO Box 19166
Kalamazoo, Michigan 49019-9810

Questions about your monthly premium invoice?  Contact us at MemberCare@hhvp.net or SBAM Service Portal

You have the option to pay your monthly insurance premiums via ACH payments. Click below to complete the form and send to us for processing.