Downloadable Forms
You can download and print the Blue Transitions Application (PDF)*. Or Apply Online now.
To pay future premiums on a monthly basis, you must submit a completed Automatic Payment Form (PDF) with your application to authorize BCBSNM to automatically deduct the monthly premium amount from your checking or savings account.
*Note: If you have questions regarding this form or about our plans for individuals, please call your broker or Contact Us. The application is available in Adobe Acrobat PDF format. If you do not have Acrobat Reader, download it free of charge at Adobe's site.
