To All Individual Applicants:
In order to speed up the processing of your application, your information will be transferred to an online format.
It is very important to have all information written CLEARLY and be thorough when completing your Medical Form (Family Health Statement).
If you answer YES to any of the Medical questions you need to provide SPECIFIC details such as: Dr. names, Address and phone numbers; medication and dosage and dates of services - start and end. Otherwise application gets mailed and further delayed up to 2 weeks or more.
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| Anthem Blue Cross Blue Shield |
| ANTHEM - New Rates, Forms and Plans |
| Brochure | For a Quote - Call us at 203-384-9000
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