Harmony Brochures & Forms

SBAM Membership & Sponsorship

Harmony Brochure

Agent Harmony Brochure

Billing & Enrollment FAQs

SBAM Membership Application

SBAM Products & Services Brochure

Rollover Letter for BCBSM/BCN Sponsorship

ACH Form for premium payments

ACH One-Time Form for premium payments

ECOS Form

Group Life & Disability

Specialty Benefits Brochure with Rates

Specialty Benefits Quoting Tool

Evidence of Insurability

Specialty Benefits Employer Enrollment Form
Specialty Benefits Employee Enrollment Form
Specialty Benefits Employee Termination Form

Specialty Benefits Sold Checklist
Specialty Benefits Agent Sell Sheet 

DearbornCares Employer Flyer
DearbornCares Employee Flyer

Specialty Benefits Group Benefit Summaries

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

Specialty Benefits Waiver of Premium Claim Form

SBAM offers Group life and disability insurance products from Dearborn Life Insurance Company, which are offered as Specialty Benefits in cooperation with Blue Cross Blue Shield of Michigan

COBRA Administration

SBAM COBRA Enrollment Form
SBAM COBRA Contract

Kushner Flexible Benefit Administration

POP, FSA HRA Enrollment Form & Agreement – Kushner
ACH Form for Kushner

Summary Plan Descriptions

Instructions to create an SPD
Sample Summary of Material Modification