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Get the free 2017 Regence BlueCross BlueShield of Oregon Individual Enrollment Application. 2017 ...

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Regency Blue Cross Bluesier of Oregon 100 SW Market Street Portland, OR 972011271 Mail form to: PO Box 1106, MSLC1NW Lewiston, ID 835011106 OR Fax to: 18773693410 Please do not include initial payment
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Regence BlueCross BlueShield is a health insurance company providing coverage to individuals and groups.
Employers offering health insurance coverage through Regence BlueCross BlueShield are required to file.
You can fill out Regence BlueCross BlueShield forms online or by mail with the required information about the covered individuals and their dependents.
The purpose of Regence BlueCross BlueShield forms is to report health insurance coverage information to the IRS.
Information such as the names, Social Security numbers, and coverage months of the individuals covered by Regence BlueCross BlueShield must be reported.
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