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Get the free 2024 VA SG ON-SHOP Enrollment Form - BluePreferred PPO

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EMPLOYEE APPLICATION MEDICAL PLAN TYPEBCBSAZ ID NUMBER (existing member)EMPLOYEE NUMBER (employer use only)SECTION IBLUEPREFERRED (PPO) BLUEPREFERRED SAVER (PPO) BLUEPREFERRED BASIC (PPO) BLUESOLUTIONS
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VA SG on-shop enrollment refers to the process by which eligible employees enroll in the Virginia State Group health insurance plan, allowing them to access health coverage through their employer.
Employees of employers that participate in the Virginia State Group health insurance plan are required to file for the VA SG on-shop enrollment if they wish to enroll in the health insurance offerings provided by their employer.
To fill out the VA SG on-shop enrollment, employees typically need to complete a designated enrollment form, which can be obtained from their employer's HR department or the Virginia state website. The form requires personal information, employment details, and selection of desired health coverage options.
The purpose of VA SG on-shop enrollment is to provide a structured method for employees to secure health insurance coverage through their employer, ensuring access to medical care for employees and their families.
The information required on the VA SG on-shop enrollment includes the employee's personal details (name, address, social security number), employment information (employer name, job title), and selection of health insurance plans and beneficiaries.
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