Affiliation Documents
Plan Information
Premera Forms
- Small Group Employer Forms
- Individual Member Enrollment and Other Forms
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Important New Group Submission Due Dates for 2024
Effective Date of Coverage
December
2023
January
2024
February
2024
March
2024
April
2024
May
2024
June
2024
July
2024
August
2024
September
2024
October
2024
November
2024
December
2024
January
2025
Submission Due Date
November 18
2023
December 16
2023
January 18
2024
February 18
2024
March 18
2024
April 18
2024
May 18
2024
June 18
2024
July 16
2024
August 18
2024
September 18
2024
October 18
2024
November 18
2024
December 17
2024