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SELECTION FORM FOR CONTINUATION OF GROUP COVERAGE WITH CAREERS BLUE CROSS BLUESIER OR CAREERS BLUECHOICE, INC. FOR THOSE GROUPS NOT ELIGIBLE FOR COBRA This selection form is for continued group coverage
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The selection form for continuation is a document used to indicate a desire to continue with a certain option or choice.
Any individual or entity who wishes to continue with a specific option or choice may be required to file a selection form for continuation.
The selection form for continuation typically requires the individual or entity to provide personal information, make a selection of their preferred option, and sign the document.
The purpose of the selection form for continuation is to formalize the decision to continue with a specific option and ensure that all necessary information is provided.
The selection form for continuation may require information such as name, address, contact details, the choice being made, and any supporting documentation.
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