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2014 Enrollment Request Form Blue Shield of California Medicare Rx Plan (PDP) Employer Group/Union Prescription Drug Benefit Plan This form is for Medicare eligible retirees who want to enroll in
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How to fill out blueshieldcacom - San Bernardino:
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Visit the official website blueshieldca.com.
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What is blueshieldcacom - san bernardino?
Blueshieldcacom - San Bernardino is a form used for reporting health coverage information to the California Franchise Tax Board.
Who is required to file blueshieldcacom - san bernardino?
Employers, insurers, and others who provide minimum essential health coverage are required to file blueshieldcacom - San Bernardino.
How to fill out blueshieldcacom - san bernardino?
Blueshieldcacom - San Bernardino can be filled out electronically or through paper forms provided by the California Franchise Tax Board.
What is the purpose of blueshieldcacom - san bernardino?
The purpose of blueshieldcacom - San Bernardino is to report health coverage information to the California Franchise Tax Board for tax purposes.
What information must be reported on blueshieldcacom - san bernardino?
Information such as the name, Social Security Number, address, and coverage details of individuals covered under the health plan must be reported on blueshieldcacom - San Bernardino.
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