Application for enrollment with cover sheet - Regence 2025

Get Form
Application for enrollment with cover sheet - Regence Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to edit Application for enrollment with cover sheet - Regence in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Handling documents with our extensive and user-friendly PDF editor is easy. Adhere to the instructions below to complete Application for enrollment with cover sheet - Regence online quickly and easily:

  1. Sign in to your account. Sign up with your credentials or register a free account to try the service before choosing the subscription.
  2. Upload a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit Application for enrollment with cover sheet - Regence. Easily add and highlight text, insert pictures, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your paperwork.
  4. Get the Application for enrollment with cover sheet - Regence accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with other people via a Shareable link or as an email attachment.

Make the most of DocHub, the most straightforward editor to quickly handle your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

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

If you often deal with documents kept in your Google Drive, DocHub is a superb option for you to easily and quickly fill out, modify, and sign them. This editor integrates well with Google services, so you can export your [KEY] from your Google Drive to the editor without downloading and re-uploading it. Right-click on your document, select Open With → DocHub PDF Sign and Edit. In our editor, add and assign Signature Fields for all parties involved, then click on the Menu button above → Send → choose how you want to share your paperwork.

If you edit your [KEY] with DocHub, you will not need to look for other software or services to sign it. An electronic signature is part of DocHub’s comprehensive editing toolset, which enables you to apply changes in your form without jumping between websites. Just complete your form, double-check the correctness of your information and place your electronic signature at the end to make it submission-ready within a few minutes.

Regence is owned by BlueCross BlueShield but is available only to customers in Idaho, Washington, Oregon, and Utah. The company was founded in 1942 and was actually the first insurance company for Utah. Regence provides a variety of health care plans and member rewards.
As the largest health plan in the Northwest/Intermountain Region, we serve over 3.4 million members in Oregon, Washington, Idaho and Utah through their workplace or personal coverage.
Fax: Regence Group Administrators, Attn: Appeals 855-462-8875.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

About Regence Regence serves approximately 3.1 million members through Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (select counties in Washington).
Your Medical Benefit Booklet outlines what kind of treatments are covered under your plan. If you have further questionslike if youll need a prescription or if youre limited to a number of visitsdocHub out to Customer Service at 1 (844) REGENCE (734-3623).
Cambia Health Solutions is a nonprofit health care company based in Portland, Oregon. It is the parent company of Regence, a member of the Blue Cross Blue Shield Association operating in Oregon, Idaho, Utah, and Washington; Asuris Northwest Health; BridgeSpan Health; and LifeMap.
Regence is the name given to Blue Cross and Blue Shield plans in four northwestern states.

Related links