Certificate Of Insurance Form Blue Cross
To request a certificate contact your local blue cross and blue shield company.
Certificate of insurance form blue cross. To submit an online request or change you must be a member of the reference blue cross and blue shield of north carolina health plan or a group benefits administrator authorized to make requests or changes on the member s behalf. Blue cross blue shield and the cross and shield symbols are registered service marks of the blue cross and blue shield association an association of independent blue cross and blue shield plans. Blue cross and blue shield of texas is the trade name of dearborn life insurance company an independent licensee of the blue cross and blue shield association. You can order a certificate here.
The affordable care act requires nearly all americans have health insurance. If your policy is still active and you need a certificate of creditable coverage document please call the customer service number on your blue cross nc id card. Blue cross blue shield of north dakota does not exclude people or treat them differently because of. You can order a certificate here for terminated policies for up to 24 months following termination.
Blue cross blue shield of michigan and blue care network members. Following receipt of your request you will receive your proof of coverage certificate through. The 1095 tax forms provide proof that you and your family had health insurance during that year. A certificate of coverage also known as a certificate of credible coverage is documentation that certifies a member or one of their dependents has had health insurance coverage.
Bcbsok members with pharmacy benefits through an employer group insurance plan can use this form to request reimbursement for a prescription drug purchase. Do you need a certificate of creditable coverage to verify the length of coverage you had with blue cross nc. Blue cross blue shield of north dakota complies with applicable federal civil rights laws and does not discriminate on the basis of race color national origin age disability gender identity sexual orientation or sex. It is often required when a member is about to retire and needs proof that they have had five years of continuous coverage.
Forms for small group products groups of 2 50 forms for mid market group products groups of 51 150 forms for large group products groups of 151 forms for medicare products. Forms for ancillary products.