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State of Maine Member Enrollment/Member Change Form In Maine Anthem Blue Cross and Blue Shield is a trade name of Anthem Health Plans of Maine Inc* an independent licensee of the Blue Cross and Blue Shield Association* Registered marks of the Blue Cross and Blue Shield Association* If you have any questions please contact the State Office of Employee Health and Benefits at 1-800-422-4503 or 287-6780. All questions need to be completed before this application can be processed* DO NOT USE RED...
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State of Maine member refers to an individual or organization that is a member of a group or association in the state of Maine. This can include individuals, businesses, or other entities that are part of a specific membership group in the state.
The requirement to file as a state of Maine member may vary depending on the specific laws and regulations governing the group or association. It is best to consult the rules and guidelines set forth by the governing body or organization to determine who is required to file as a state of Maine member.
The process for filling out the state of Maine member form will depend on the specific requirements set forth by the governing body or organization. Generally, you will need to provide information such as your name, contact information, membership details, and any other relevant information requested by the form. It is best to consult the instructions provided with the form to ensure you provide all the necessary information.
The purpose of the state of Maine member form is to gather information about individuals or organizations that are members of a specific group or association in the state. This information may be used for various purposes, such as maintaining a membership roster, facilitating communication among members, or determining eligibility for certain benefits or privileges.
The specific information that must be reported on the state of Maine member form will vary depending on the requirements set forth by the governing body or organization. However, typical information that may be requested includes the individual or organization's name, contact information, membership details, and any other relevant information deemed necessary by the form.
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Related Links

Enrollment/Change Form
{Any person who, with intent to defraud or knowing that he or she is facilitating a fraud against an insurer, submits an application or files a claim ...
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MAINE MEMBERS: YOU UNDERSTAND THAT YOUR EOC INCLUDES A SUBROGATION PROVISION ... Please read the following instructions prior to completing this enrollment/change ...
State of Maine Member Enrollment/Member Change Form
If you have any questions, please contact the State Office of Employee Health and Benefits at 1-800-422-4503 or 287-6780. All questions need to be completed ...

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