Group Activity Report (GAR) - Blue Cross Blue Shield of RI 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the Employer Group Information section. Enter the Group Name, Group Number, Subgroup Number, and the date of submission. Ensure that these details are accurate as they identify the employer group.
3. In the Subscriber/Member Information Section, fill in the BCBSRI Membership Number and the Name of Employee. Make sure to include their effective or termination date based on your request.
4. Select the appropriate Process Code from the provided options to indicate what type of change you are requesting, such as a new addition or termination.
5. Provide an Explanation of Request using the legend on the form. This should clearly describe why you are submitting this GAR.
6. Once all fields are completed, review your entries for accuracy before saving and sending your form via fax or mail as instructed.

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