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Blue Cross and Blue Shield of Minnesota Contract Request Form *Submit W9 with Contract Request Form Fax to: (651) 6626684 or Mail to: BCB SMN PDO, R316 PO Box 64560 St Paul, MN 551640560 Along with
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BCBSM Inc. stands for Blue Cross Blue Shield of Michigan, a nonprofit insurance company.
Employers who provide health insurance coverage through BCBSM Inc. are required to file.
Employers need to provide information about the health insurance coverage offered through BCBSM Inc. on the appropriate forms.
The purpose is to report information about the health insurance coverage provided to employees.
Information such as the number of employees covered, the type of coverage offered, and the cost of coverage must be reported.
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