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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 refers to any changes or variations from the previous entry or record.
The individual or entity responsible for the initial entry or record is required to file if different for existing.
To fill out if different for existing, one must clearly indicate the changes or variations from the previous entry or record.
The purpose of if different for existing is to ensure accurate and up-to-date information is maintained.
Any changes or variations from the previous entry or record must be reported on if different for existing.
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