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Employer Update | December 2016
Employer Update | December 2016

Tips to Expedite Review of Your Annual Group Information Form

(Updated 1-11-17)

Correct Date for AGIF   
Please be advised that for paperwork received after February 1, an Annual Group Information Form (AGIF) requires a signature dated 2017.


To expedite the review of the Annual Group Information Form (AGIF) and any benefit changes, please be sure your information is submitted correctly. To better assist you, we've provided some helpful reminders.

  • Make sure the AGIF is completed in its entirety.
  • If you have a Medicare product, make sure the Medicare supplemental form is also included with the medical AGIF submission.
  • If you have a dental product, make sure the dental supplemental form is also included with the medical AGIF submission.
  • Make sure that both the physical business address and the company headquarters address (if different) are not PO Boxes. The physical address not a mailing address are required for both of these questions.
  • Make sure the signature page is both signed and dated by the administrator.

Access the Annual Group Information Form (PDF)
AGIF Instructions (PDF)
NEW! Access the Web Version of the AGIF

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