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Get the free CPC1018_12-9 Blue Shield of California Beneficiary Affidavit. Required parent/guardi...

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BENEFICIARY AFFIDAVIT For Blue Shield of California Life & Health Insurance Company 4203 Town Center Blvd., El Dorado Hills, CA 95762 (888) 800-2742 Note: Please complete the entire enrollment form.
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Cpc1018_12-9 blue shield refers to a specific form used for reporting health insurance coverage information.
Insurance providers and employers are required to file cpc1018_12-9 blue shield forms.
Cpc1018_12-9 blue shield forms can be filled out online or manually. The required information includes details about the coverage provided.
The purpose of cpc1018_12-9 blue shield forms is to report health insurance coverage information to the IRS.
Cpc1018_12-9 blue shield forms require reporting of information such as the covered individuals' names, social security numbers, and coverage periods.
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