BSSP offers  medical, dental, vision and life insurance benefits for employees of BSSP-member employers.  For more information on each of BSSP's employee benefit programs, click on the buttons below.

Information for New Employees

$0 and Low Cost Benefits

Voluntary Benefits with American Fidelity

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Employee Forms

Enrollment and Change Forms

SISC Anthem & BSSP Supplemental Enrollment Form
Kaiser Medical (plus dental and vision) Enrollment Form
BSSP Supplemental Enrollment Form
SISC Anthem Enrollment Form
​Membership Change Form
Health Savings Account Authorization Form
American Fidelity HSA Payroll Deduction Form 2023
Optum HSA Payroll Deduction Form 2023
Beneficiary Designation Form
Application for Supplemental Life Insurance

Reimbursement Claim Forms

Anthem Blue Cross Medical Claim Form
Navitus Prescription Claim Form
Navitus Prescription Claim Form - Compound Drugs
Navitus OTC COVID-19 At Home Test Claim Form
Delta Dental
VSP

Other Forms

AmeriBen HIPAA Authorization Form

Costco Prescription Mail Order Form

​Whom Do I Call?

Information regarding Hospital Prices and SISC premiums

​Costco Immunization Consent Form