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The following forms are available at www.bcbstx.com/trsactivecareba/documents-forms.bswift AccessIf you have a new BA who needs administrator access to the bswift system, the bswift Administrator Access form must be completed and submitted to your BA Advocate.Blue Access for EmployersAny administrator who needs access to BAESM can complete the BAE Access Request form and return it to TRS_BAE_Access@bcbstx.com. Please allow 3 full business days for processing. Once your form is approved and processed, you will receive an automated email from BAE Security with your User ID and password. You may view the BAE training videofor further guidance on navigating the portal upon login. If you experience any log-in issues, please contact the Helpdesk at 1-888-706-0583.Enrollment, Change and Declination FormEmployees can select coverage and enroll in TRS-ActiveCare by downloading this change form. Once completed, the employee can print the application, sign and date it, and submit it to their employer%u2019s BA. The application cannot be submitted online or saved to a hard drive. Be sure to print an extra copy for the employee%u2019s records.Transition of Care Coverage FormIf an employee or covered dependent will be undergoing a course of medical treatment at the time of joining TRSActiveCare and the physician is not in network, ongoing care with the current doctor may be requested for a period of time. To receive the highest level of benefits, a Transition Coverage Request must be completed and approved. Instructions for submitting the request are on the form.Note: This form is not required if the physician is in network.HIPAA Disclosure AuthorizationsA standard authorization form to authorize BCBSTX to disclose protected health information to a specific person or employer.Dependent Child Statement of DisabilityIf you are applying for coverage for a dependent over 26, this form must be completed by the policyholder and attending physician and submitted with your enrollment application for TRS-ActiveCare.TPA Transfer FormIf you are switching to a new TPA platform, this form must be completed and submitted to your BA Advocate 60 days prior to the requested change date (90 days prior if the TPA is new to TRS).Application to Split Premium Form (online only)If you have an employee who wants their premium split with a spouse who is employed at a different participating employer, this form must be completed and submitted to your BA Advocate. To access the online form, go to TRS split bill.Application to Terminate Split Premium Form (online only)If you have an employee who wants to terminate a split premium arrangement, this form must be completed and submitted to your BA Advocate. To access the online form, go to TRS split bill.Out-of-State Dependent/Attestation FormIf your employee is enrolled in a TRS-ActiveCare Primary or TRS-ActiveCare Primary+ family plan and has a dependent who is living outside of Texas, this form must be completed and submitted to bswift to get the dependent out-of-state coverage.FORMSwww.bcbstx.com/trsactivecareba 57