Premera blue enrollment form 2025

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The document is an 'Other Coverage Questionnaire Enrollment' form requesting subscribers to provide information about any additional health coverage they may have. It includes instructions for completing the form, details on coordination of benefits (COB), and guidance on how to submit claims based on different scenarios involving multiple insurance coverages. The purpose is to ensure proper processing of claims and avoid overpayment by coordinating benefits between insurers.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I add a baby to my Premera insurance?

Enrolling a newborn baby on your health plan In order to continue coverage for your newborn beyond the 31-day window, you must add the baby to your medical plan. Contact the My HR Live Support at: myhr.a2z.com. 1-888-892-7180 weekdays from 5 a.m. to 6 p.m. PT.

What is Blue Cross Blue Shield called in Washington?

About Premera Blue Cross Premera is headquartered in Washington State and provides health benefits to 2.8 million people nationwide. Our SEBB plans are designed with school employees in mind and are backed by best-in-class customer service and the Blue Cross Blue Shield Association.

Are Premera and Blue Cross Blue Shield the same?

Premera Blue Cross is a not-for-profit Blue Cross Blue Shield licensed healthcare company that offers health plans in Washington state and Alaska.

What association is Premera part of?

And, as part of the Blue Cross Blue Shield Association, Premera members have access to the largest nationwide network of any other major health plan.

How do I contact Microsoft Blue Cross Premera?

Premera Blue Cross Medicare Advantage Plan Call Customer Service at 888-850-8526, 8 a.m. to 8 p.m., Monday through Sunday. Call Utilization Management at 855-339-8127, 9 a.m to 9 pm., Monday through Friday.

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Is Premera insurance the same as Blue Cross Blue Shield?

Premera Blue Cross is a health insurance company that provides coverage for residents of the Pacific Northwest. Their parent company is Blue Cross Blue Shield, which means that Premera Blue Cross members have access to a large network of high-quality therapists.

What is Blue Cross Blue Shield also known as?

Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United Statesbased federation with 33 independent and locally operated BCBSA companies that provide health insurance to more than 115 million people in the U.S. as of 2022.

What is a health enrollment form?

Enrollment forms record whether employees have enrolled in or waived group benefits. For instance, if you have more than 50 full-time employees, you will need this data to complete IRS forms 1094 and 1095, which record health care coverage.

Premera blue enrollment form 2025

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How to quickly redact Premera blue enrollment form online

See more premera blue enrollment form versions

Complete this form in 5 minutes or less

Got questions?

How do I add a baby to my Premera insurance?

What is Blue Cross Blue Shield called in Washington?

Are Premera and Blue Cross Blue Shield the same?

What association is Premera part of?

How do I contact Microsoft Blue Cross Premera?

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Is Premera insurance the same as Blue Cross Blue Shield?

What is Blue Cross Blue Shield also known as?

What is a health enrollment form?

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