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Application for Coverage Individuals and Families (Off Marketplace Only) This application may be used for 2019 individual and family coverage through either Blue Cross Blue Shield of Michigan (BC

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What is off marketplace only?

Off marketplace only refers to a type of filing for organizations or individuals who do not participate in the marketplace or exchange for health insurance.

Who is required to file off marketplace only?

Those who are not enrolled in a marketplace plan are required to file off marketplace only.

How to fill out off marketplace only?

Off marketplace only can be filled out by providing relevant information about the health insurance coverage outside of the marketplace.

What is the purpose of off marketplace only?

The purpose of off marketplace only is to report information about health insurance coverage that is not obtained through the marketplace.

What information must be reported on off marketplace only?

Information such as the type of coverage, policy number, and duration of coverage must be reported on off marketplace only.

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