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BLUE CARE NETWORK OF MICHIGAN
PRACTITIONER AFFILIATION AGREEMENT SIGNATURE PAGE
IN WITNESS WHEREOF, the parties wishing to be bound by the terms and conditions of the BCN
Practitioner Affiliation
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Blue care network is a health insurance provider.
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Employers providing health insurance through blue care network are required to file.
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Blue care network forms can be filled out online or through a paper application.
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The purpose of blue care network forms is to report health insurance coverage information to the IRS.
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Information such as covered individuals, policy details, and premiums paid must be reported.
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