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  • Premera Member Enrollment And Change Application Form

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Tion from, or release it to, health-care providers, insurance companies, or other sources to conduct our routine business operations such as: underwriting and determining your eligibility for benefits and paying claims; coordinating benefits with other health-care plans; conducting care management, case management, or quality reviews. This information may also be collected, used or released as required or permitted by law. To safeguard your privacy and ensure your information remains confidentia.

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Access to affordable, high-quality healthcare is the main value Premera Blue Cross brings to our members. 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.

ID number: Each member is assigned an identification number. You must submit the member's ID number on all claims and correspondence exactly as displayed on the members ID card. Premera does not use a Social Security number (SSN) on member ID cards. We assign a unique number preceded with a three-digit prefix.

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

Premera was founded as Washington Hospital Service in 1933, and began operating in Alaska in 1957. In 1969, the company's name was changed to Blue Cross of Washington and Alaska. In June 1998, Blue Cross of Washington and Alaska merged with Spokane's Medical Service Corporation under the name Premera Blue Cross.

About Premera Blue Cross Premera is headquartered in Washington State and provides health benefits to 2.8 million people nationwide.

Medicare rating: 3.5 to 4 stars For 2022, Premera's Medicare Advantage plans have an overall average rating range of 3.4 to 4 stars from the Centers for Medicare & Medicaid Services. Find each plan's star rating on Medicare.gov.

About Premera Blue Cross Premera Blue Cross is headquartered in Mountlake Terrace, WA, with more than 3,250 employees working in operations in Seattle and Spokane, Washington, and Anchorage, Alaska. The company and its predecessors have operated in Washington since 1933 and in Alaska since 1952.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232