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This document serves as an application for a group health service contract between the City of San Jose and Blue Shield of California, detailing the agreement's effective date, terms, and conditions
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How to fill out APPLICATION IS HEREBY MADE FOR A GROUP HEALTH SERVICE CONTRACT TO Blue Shield of California

01
Gather the necessary information, including the group's legal name, address, and contact details.
02
Determine the number of members that will be included in the group health service contract.
03
Prepare documentation that proves the group's eligibility for the health service contract, such as articles of incorporation or business licenses.
04
Complete the application form, ensuring all required fields are filled out accurately.
05
Review the application for any missing information or signatures.
06
Submit the application along with any required supporting documents to Blue Shield of California.
07
Await confirmation of receipt and any follow-up communication from Blue Shield of California for further steps.

Who needs APPLICATION IS HEREBY MADE FOR A GROUP HEALTH SERVICE CONTRACT TO Blue Shield of California?

01
Businesses or organizations looking to provide health insurance benefits to their employees.
02
Non-profits and community organizations seeking a group health service for their members.
03
Associations or unions that wish to offer health coverage to their members as a collective benefit.
04
Any group of individuals who qualify under Blue Shield of California's criteria for group health contracts.
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Mark Seelig, a spokesperson for Blue Shield of California, said rising costs for hospital stays, doctor visits, and prescription drugs put upward pressure on premiums. Blue Shield has created a new initiative that he said is designed to lower drug prices and pass on savings to consumers.
As a Blue Shield member, you have access to coverage through the BlueCard® Program, no matter where you live or travel. Providers in more than 200 countries belong to the Blue Shield Global Core network, and 85% of providers in the United States belong to BlueCard's national network.
Blue Shield of California, an independent member of the Blue Shield Association, is a nonprofit health plan dedicated to providing Californians with access to high-quality health care at an affordable price.

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APPLICATION IS HEREBY MADE FOR A GROUP HEALTH SERVICE CONTRACT TO Blue Shield of California is a formal request submitted by a group (such as an employer or organization) seeking to obtain health insurance coverage from Blue Shield of California.
Typically, the group representative or an authorized individual within the organization, such as a human resources manager or business owner, is required to file the application.
To fill out the application, one must provide necessary details about the group, such as the group's legal name, address, contact information, and the number of members to be enrolled in the health plan, along with any other required documentation.
The purpose of the application is to initiate the process of securing a group health insurance policy, outlining the specific needs and demographics of the group, which Blue Shield of California will use to assess coverage options and premium rates.
Information that must be reported includes the group's legal name, address, type of organization, contact details, expected enrollment numbers, and any relevant health history or demographic information related to potential members.
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