Anthem group health insurance

    • [PDF File]Payer Connection Payer List

      https://info.5y1.org/anthem-group-health-insurance_1_6ac053.html

      Anthem BCBS Wisconsin 00450 N N/A Anthem Blue Cross 00060 N N/A PO Box 533 North Haven CT 06473 Anthem E Consult AECON N N/A ANTHEM HEALTH AND LIFE 80705A N N/A Anthem Telemedicine ATMED N N/A APWU AMERICAN POSTAL WORKERS UNION 44444 N N/A Arizona Physicians IPA (APIPA) (UHC APIPA) 03432 N N/A ARM LTD NORTHWEST ARMNW N N/A 10200 SW Nimbus Ste G5

    • [PDF File]Anthem® BlueCross Life and Health Insurance Company Your Plan: PRISM ...

      https://info.5y1.org/anthem-group-health-insurance_1_694bd7.html

      Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of ... In the event of a conflict between the Group Contract and this description, the terms of the Group Contract will prevail. By signing this Summary of Benefits, I agree to the benefits for the product selected as of the effective date ...

    • employee Waiver Form Waiv o a roup - Anthem

      Insurance plans offered by Anthem lue Cross Life and Health Insurance Company Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ... TO BE ENROLLED IN THIS GROUP’S MEDICAL, DENTAL, VISION, AND/OR ...

    • [PDF File]Anthem Blue Cross Gold Plan Summary - California Health Sciences University

      https://info.5y1.org/anthem-group-health-insurance_1_e061aa.html

      Anthem Blue Cross of California Your Contract Code: 302Q Your Plan: Anthem Gold PPO 500/20%/6500 Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does not reflect each and every benefit, exclusion and limitation which may apply to the coverage.

    • [PDF File]Anthem Blue Cross Life and Health Insurance Company Your Plan: PRISM ...

      https://info.5y1.org/anthem-group-health-insurance_1_fc7e23.html

      In the event of a conflict between the Group Contract and this description, the terms of the Group Contract will prevail. By signing this Summary of Benefits, I agree to the benefits for the product selected as of the effective date indicated. ... Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of

    • [PDF File]California Employee Enrollment Application For Small Groups Medical ...

      https://info.5y1.org/anthem-group-health-insurance_1_8abc18.html

      Health care plans offered by Anthem Blue Cross (Anthem). Insurance plans offered by Anthem Blue Cross Life and Health Insurance Company. You, the employee, must complete this application. You are solely responsible for its accuracy and completeness. To avoid the possibility of delay, answer all questions and be sure to sign and date your ...

    • [PDF File]e-Anthem Group Health Plan Inquiry Usage Agreement

      https://info.5y1.org/anthem-group-health-insurance_1_607e5b.html

      The User hereby represents and warrants that it is a Group Health Plan. The User agrees to notify Anthem at least thirty days prior to ceasing to be a Group Health Plan. In the event the User ceases to be a Group Health Plan, the User agrees toterminate use of the Employer Group Inquiry application and to explore other options

    • [PDF File]California Employee Waiver Form For Small Groups

      https://info.5y1.org/anthem-group-health-insurance_1_db084c.html

      Instructions: Please complete and return to your Group Administrator. You, the employee, must complete this application. You are solely responsible for its accuracy and completeness. ... Anthem Blue Cross Life and Health Insurance Company is an independent licensee of the Blue Cross Association. ANTHEM is a registered

    • Anthem Group Health Insurance Member Change Form - Washington and Lee ...

      Anthem Group Health Insurance Member Change Form Used to add someone to your existing health insurance policy . EMPLOYEE INFORMATION. Your name: _____ Date this form submitted to HR: _____ ... I Drive – Kim – Forms – health insurance – OUR member change form 1/9/2015: Author:

    • [PDF File]PepsiCo Healthy Advantage - BCBS

      https://info.5y1.org/anthem-group-health-insurance_1_90a85a.html

      Yes. See www.Anthem.com or call 1-877-224-0030. If you use an in-network doctor or other health care provider, this plan will pay some or all of the costs of covered services. Be aware, your in-network doctor or hospital may use an out-of-network provider for some services. Plans use the term in-network, preferred , or

    • 2017 Group Administrator Manual

      Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ... small.group@anthem.com Anthem Blue Cross P.O. Box 9062 Oxnard, CA 93031-9062 8 a.m. - 6 p.m. PT Cal-COBRA and/or COBRA Enrollment and Billing

    • [PDF File]Anthem BC Health Insurance Company Group Sponsored Health Plan ...

      https://info.5y1.org/anthem-group-health-insurance_1_efd38a.html

      Anthem BC Health Insurance Company Group Sponsored Health Plan Enrollment Election Form Y0114_22_129789_I_M_001_COSAJO 04/06/2021 CA Your email address will be used for communications only from Anthem BC Health Insurance Company. We will not share your email address. City of San Jose CAEGR027 Anthem Medicare Preferred (PPO) with Senior Rx Plus

    • [PDF File]The State of New Hampshire Insurance Department

      https://info.5y1.org/anthem-group-health-insurance_1_a41889.html

      health insurance in NH Please contact companies to determine if they are currently selling Small Group Health Insurance in NH ANTHEM HEALTH PLANS OF NH, INC (53759)/MATTHEW THORNTON HEALTH PLANS, INC (95527) 1155 Elm Street Manchester NH 03101 1‐800‐250‐5420 www.anthem.com

    • [PDF File]Anthem BC Health Insurance Company Group-Sponsored Health Plan ...

      https://info.5y1.org/anthem-group-health-insurance_1_84f4db.html

      Anthem BC Health Insurance Company is an LPPO plan with a Medicare contract. Enrollment in Anthem BC Health Insurance Company depends on contract renewal. Anthem BC Health Insurance Company is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross Association. 517710MUSENMUB_001_NOCALA

    • [PDF File]Medical Claim Form - CPG

      https://info.5y1.org/anthem-group-health-insurance_1_47a9e3.html

      Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc.

    • Health Certificate of Coverage - Anthem

      solely between the Group and Community Health Insurance (Anthem), and that Anthem is an independent corporation operating under a license from the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, (the “Association”) permitting Anthem to

    • [PDF File]California Employee Enrollment Application For Small Groups Medical ...

      https://info.5y1.org/anthem-group-health-insurance_1_fbfd50.html

      Health care plans offered by Anthem Blue Cross (Anthem). Insurance plans offered by Anthem Blue Cross Life and Health Insurance Company. You, the employee, must complete this application. You are solely responsible for its accuracy and completeness. To avoid the possibility of delay, answer all questions and be sure to sign and date your ...

    • [PDF File]Anthem add EE to existing group - Peter Trummer Insurance

      https://info.5y1.org/anthem-group-health-insurance_1_b56e41.html

      Supplemental Life Insurance (in addition to Term Life, if it is offered) o Yes o No Amount:o $15,000 o $25,000o $50,000o $100,000 offered by Anthem Blue Cross Life and Health Insurance Company For above Dental Net plan, you must select a Dental Office Number:

    • [PDF File]e-Anthem Group Health Plan Inquiry Usage Agreement

      https://info.5y1.org/anthem-group-health-insurance_1_3903b3.html

      The User hereby represents and warrants that it is a Group Health Plan. The User agrees to notify Anthem at least thirty days prior to ceasing to be a Group Health Plan. In the event the User ceases to be a Group Health Plan, the User agrees toterminate use of the Employer Group Inquiry application and to explore other options to this service ...

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