Get the free Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form
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This form is used by students at the Massachusetts College of Art & Design to enroll in the Student Health Plan after waiving it, due to termination of other insurance.
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How to fill out Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form
01
Obtain the Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form.
02
Fill in your personal information including full name, address, and date of birth.
03
Provide your student identification number or Social Security number as required.
04
Indicate the type of coverage you are enrolling in (individual or family).
05
Complete any additional sections regarding dependents you wish to cover.
06
Review the health plan options available and select your preferred plan.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the form to the appropriate office at Massachusetts College of Art & Design by the specified deadline.
Who needs Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form?
01
Students who are enrolled at Massachusetts College of Art & Design and wish to obtain health insurance.
02
Individuals who are dependents of enrolled students and require coverage under the student health plan.
03
Any eligible staff or faculty members seeking Blue Cross Blue Shield health insurance options through the college.
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People Also Ask about
How much does Blue Cross Blue Shield cost per month in Massachusetts?
Most Affordable Health Insurance Companies in Massachusetts Cheapest IssuerAverage Monthly RateAverage Monthly Savings Tufts Health Plan Direct $401 $289 Blue Cross Blue Shield of Massachusetts $425 $265 WellSense Health Plan $537 $153 Mass General Brigham Health Plan $633 $57 Jun 8, 2025
How to get blue cross blue shield number in Massachusetts?
You can obtain a Provider Directory for your plan by calling 1-800-262-BLUE (2583). You can also call our Physician Selection Service at 1-800-821-1388 if you'd like help selecting a .
What is the fax number for the Blue Cross of Massachusetts?
For BCBSMA employees, fax to 1-617-246-4013.
What is the federal ID number for Blue Cross Blue Shield of Massachusetts?
04-1045815 is the Federal Tax ID (FID) for Blue Cross Blue Shield of Massachusetts for Health Care tax filing purposes. You won't receive a Form 1095-HC if: You're under 18 years old. You have a dental and/or vision-only plan through Blue Cross.
How do I find my BCBS member ID in MA?
Blue Cross Blue Shield of. Massachusetts Your BCBS ID number is available by signing in to your account on the Blue Cross Blue Shield website.
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What is Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form?
The Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form is a document used by students and staff to apply for health insurance coverage provided by Blue Cross Blue Shield through the college.
Who is required to file Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form?
All students who wish to enroll in the Blue Cross Blue Shield health insurance plan offered by the Massachusetts College of Art & Design are required to file the enrollment form.
How to fill out Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form?
To fill out the enrollment form, individuals must provide personal information, select coverage options, and sign the form to confirm their enrollment in the health insurance plan.
What is the purpose of Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form?
The purpose of the enrollment form is to facilitate the process of enrolling students and staff in the Blue Cross Blue Shield health insurance plan, ensuring they have access to needed healthcare services.
What information must be reported on Massachusetts College of Art & Design Blue Cross Blue Shield Enrollment Form?
The information that must be reported includes the individual's full name, date of birth, student ID number, contact information, and selected coverage options.
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