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OFFICE USE ONLY Date Received: Rep Code: Agent Number: Group Number: Agency Number: Effective Date: Applicant present: I Highly mark Blue Cross Blue Shield and Keystone Health Plan West are Independent
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Highmark Blue Cross Blue Shield is a health insurance company that provides coverage for individuals and families.
Anyone who wants to enroll in a health insurance plan with Highmark Blue Cross Blue Shield is required to file an application.
You can fill out the application for Highmark Blue Cross Blue Shield online or by visiting their office and completing a paper application.
The purpose of Highmark Blue Cross Blue Shield is to provide affordable and comprehensive health insurance coverage to individuals and families.
You will need to provide personal information, such as your name, address, and social security number, as well as information about your health history and any pre-existing conditions.
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