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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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What is highmark blue cross blue?
Highmark Blue Cross Blue Shield is a health insurance company that provides coverage for individuals and families.
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Anyone who wants to enroll in a health insurance plan with Highmark Blue Cross Blue Shield is required to file an application.
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You can fill out the application for Highmark Blue Cross Blue Shield online or by visiting their office and completing a paper application.
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The purpose of Highmark Blue Cross Blue Shield is to provide affordable and comprehensive health insurance coverage to individuals and families.
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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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