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  • Conversion Of Dependent Form - Anthem

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Anthem Blue Cross and Blue Shield P. O. Box 14046 Roanoke, VA 24038-4046 Instructions 1. 2. 3. 4. 5. Print clearly and complete this application in ink. For each person to be covered, provide all.

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Overall, Blue Cross Blue Shield is better than Anthem. You can get Blue Cross Blue Shield in more areas, and it generally has better customer satisfaction than Anthem. However, Anthem is usually cheaper. Both Blue Cross Blue Shield and Anthem offer quality coverage.

Form 1095-A: The 1095-A form will be mailed by Covered California™ to individuals enrolled in an L.A. Care Covered™ (subsidized or unsubsidized) plan. If you have any questions regarding your Form 1095-A, please contact Covered California at (800) 300-1506.

Accidental Death And Dismemberment. Our group accidental death and dismemberment (AD&D) insurance provides additional benefits for losses from accidents.

How to find your 1095-A online Log in to your HealthCare.gov account. Under "Your Existing Applications," select your 2022 application — not your 2023 application. Select “Tax Forms” from the menu on the left. Download all 1095-As shown on the screen.

Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
DMCA 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