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Forms & Notices
IMPORTANT Notice about Protections Under the No Surprises Billing Act
Transparency in Coverage Anthem Machine Readable Files Available July 1 2022
Evidence Of Insurability (Anthem GGL)
Notice of Initial Qualifying Event
Medical and RX Resources for Members
COBRA Deadline Extension Notice effective 1.1.2021
Away From Home Care (Guest Membership)
COBRA Initial Notice for New Enrollees Effective April 2023 - Booklet Version
Termination Form
Open Enrollment Forms
GMA Life and Health Enrollment and Change Forms
GMA Life and Health Miscellaneous Forms
GMEBS Life and Health Notices (includes HIPAA Notice of Privacy Practices)
GGL Life Forms and Documents
GMA Life and Health COBRA Forms
Benefit Documents (includes Summaries of Benefits and Coverage)
--Select Employer--
ABBEVILLE
ALMA HOUSING AUTHORITY
ANDERSONVILLE
AUBURN
BALDWIN
BLAIRSVILLE
BLAKELY
BLOOMINGDALE
BLUE RIDGE
BLYTHE
BOWDON
BOWMAN
BREMEN HOUSING AUTHORITY
BRONWOOD
BYRON
CANON
CARROLLTON
CENTERVILLE
CHAMBLEE
CHATSWORTH
CHICKAMAUGA
CLARKESVILLE
CLARKSTON
CLAXTON
CLAYTON
CLEVELAND
CLIMAX
COASTAL REGIONAL COMMISSION
COLQUITT
COLQUITT HOUSING AUTHORITY
COMER
COMMERCE
CORDELE HOUSING AUTHORITY
CUMMING
DACULA
DAHLONEGA
DALLAS
DALLAS HOUSING AUTHORITY
DAVISBORO
DILLARD
DORAVILLE
DUBLIN
DUBLIN-LAURENS COUNTY RECREATI
EAST DUBLIN
EAST ELLIJAY
EAST POINT HOUSING AUTHORITY
EDISON
ELLAVILLE
ELLIJAY
FAIRMOUNT
FITZGERALD WATER, LIGHT AND BO
FLINT AREA CONSOLIDATED HOUSIN
FOLKSTON
FORT GAINES
FRANKLIN HOUSING AUTHORITY
GARDEN CITY
GAS AUTHORITY OF GEORGIA
GEORGIA MOUNTAINS REGIONAL COM
GEORGIA MUNICIPAL ASSOCIATION
GLENNVILLE
GORDON
GREENSBORO
HAZLEHURST
HEARD COUNTY WATER AUTHORITY
HEPHZIBAH
HIRAM
HOGANSVILLE HOUSING AUTHORITY
HOUSING AUTH OF CAIRO
JACKSON COUNTY WATER & SEWERAG
JASPER
JASPER COUNTY JOINT 911 AUTHOR
JASPER HOUSING AUTHORITY
JEFFERSONVILLE
JENKINSBURG
JESUP HOUSING AUTHORITY
KINGSLAND
KINGSTON
LAGRANGE HOUSING AUTHORITY
LAKE CITY
LAVONIA
LAVONIA HOUSING AUTHORITY
LEARY
LEESBURG
LENOX
LEXINGTON
LIBERTY CONSOLIDATED PLANNING
LILBURN
LINCOLNTON
LITHONIA
LOGANVILLE
LOUISVILLE
LULA
LYONS
MADISON
MANCHESTER
MANSFIELD
MARSHALLVILLE
MCDONOUGH HOUSING AUTHORITY
MCINTYRE
MCRAE-HELENA
MEIGS
MGAG-ALABAMA
MILLEDGEVILLE
MONROE HOUSING AUTHORITY
MONTEZUMA
MONTICELLO
MORGAN
MOUNT AIRY
MOUNT VERNON
MOUNT VERNON HOUSING AUTHORITY
NICHOLLS
NICHOLSON
NORTHEAST GEORGIA HOUSING AUTH
NORTHEAST GEORGIA REGIONAL COM
NORTHWEST GEORGIA REGIONAL COM
OAKWOOD
OXFORD
PALMETTO
PEACHTREE CORNERS
PEMBROKE
PENDERGRASS
PINE MOUNTAIN
PLAINS
PLAINVILLE
PORTERDALE
REMERTON
RICHLAND
RINGGOLD
RIVER VALLEY REGIONAL COMMISSI
ROBERTA
ROCHELLE
ROSSVILLE
ROYSTON
RUTLEDGE
SANDERSVILLE
SATILLA REGIONAL WATER & SEWER
SENOIA
SHELLMAN
SKY VALLEY
SMITHVILLE
SNELLVILLE
SOUTHERN GEORGIA REGIONAL COMM
SOUTHWEST GEORGIA REGIONAL COM
ST. MARYS
STATHAM
STOCKBRIDGE
STONECREST
SUMMERVILLE
SWAINSBORO
SYLVESTER
TALLAPOOSA
TALLAPOOSA HOUSING AUTHORITY
TALLULAH FALLS
TEMPLE
THOMSON
TIFTON
TOCCOA
TRENTON
TRI-COUNTY NATURAL GAS AUTHORI
TRION
TUCKER
TURIN
TWIN CITY
TY TY
UNADILLA
UNION CITY
UNION POINT
VALDOSTA-LOWNDES CNTY AIRPORT
VALDOSTA-LOWNDES COUNTY PARKS
VIENNA
VIENNA HOUSING AUTHORITY
VILLA RICA HOUSING AUTHORITY
WADLEY
WALESKA
WALTHOURVILLE
WARWICK
WHIGHAM
WHITE
WHITESBURG
WINDER
WOODBINE
WOODBURY
WRENS
WRIGHTSVILLE
ZEBULON