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Blue Cross BlueShieldof IllinoisBENEFIT PROGRAM APPLICATION (BPA)Employer Group No.(s): Section No.(s): Account No. (Blue Star): Customer No. (if different, for existing business only): Employer Name:
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IF different for existing is a form that needs to be filled out when there are changes in the existing information.
The person or entity responsible for the existing information is required to file IF different for existing.
IF different for existing can be filled out electronically or manually, providing updated information where changes have occurred.
The purpose of IF different for existing is to ensure that accurate and up-to-date information is maintained.
On IF different for existing, the changes in the existing information must be reported along with any relevant details.
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