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Blue Cross and Blue Shield Service Benefit Plan http://www.fepblue.org2006A feeforservice plan with a preferred provider organization changes in benefits see page 8. Sponsored and administered by:
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What is fepblue standard option form?
The fepblue standard option form is a document that allows individuals to enroll in the FEP Blue Standard Option, which is a health insurance plan offered by the Federal Employee Program (FEP) Blue Cross and Blue Shield Association.
Who is required to file fepblue standard option form?
Federal employees and eligible family members who wish to enroll in the FEP Blue Standard Option are required to fill out and file the fepblue standard option form.
How to fill out fepblue standard option form?
To fill out the fepblue standard option form, you need to provide personal and enrollment information, including your name, contact details, social security number, and the names of any family members you wish to enroll in the plan.
What is the purpose of fepblue standard option form?
The purpose of the fepblue standard option form is to collect necessary information from individuals who wish to enroll in the FEP Blue Standard Option, in order to process their enrollment and provide them with health insurance coverage.
What information must be reported on fepblue standard option form?
The fepblue standard option form requires individuals to report personal information such as their name, address, social security number, as well as details about any family members they wish to enroll in the plan.
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