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Master Group Application (For groups of 101 and above) Blue Shield of California and Blue Shield of California Life & Health Insurance Company (Blue Shield Life) Section 1 Company information 1 Full

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What is master group application for?

The master group application is used to consolidate multiple applicants under a single group for the purpose of processing benefits, typically in health insurance or other group plans.

Who is required to file master group application for?

Employers or organizations that want to enroll multiple individuals or dependents in a group policy are required to file a master group application.

How to fill out master group application for?

The master group application should be filled out by providing necessary details such as the group's name, contact information, member details, and coverage options, ensuring all mandatory fields are completed.

What is the purpose of master group application for?

The purpose of the master group application is to facilitate the enrollment of multiple individuals into a group plan, enabling streamlined management and administration of benefits.

What information must be reported on master group application for?

Information that must be reported includes the group name, identification number, member names, addresses, dates of birth, and the type of coverage desired.

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