Evidence of Coverage and Health Service AgreementDental Ppo Plan 1000 • October 19th, 2023
Contract Type FiledOctober 19th, 2023This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physi- cians' Service d/b/a Blue Shield of California ("Blue Shield"), a not for profit health care service Plan, to the Subscriber whose identification cards are issued with this Agreement. In consideration of statements made in the application and timely payment of Dues, Blue Shield of California agrees to provide the benefits of this Agreement.
Evidence of Coverage and Health Service AgreementDental Ppo Plan 1000 • August 30th, 2022
Contract Type FiledAugust 30th, 2022This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physi- cians' Service d/b/a Blue Shield of California ("Blue Shield"), a not for profit health care service Plan, to the Subscriber whose identification cards are issued with this Agreement. In consideration of statements made in the application and timely payment of Dues, Blue Shield of California agrees to provide the benefits of this Agreement.
Evidence of Coverage and Health Service AgreementDental Ppo Plan 1000 • December 13th, 2021
Contract Type FiledDecember 13th, 2021This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physi- cians' Service d/b/a Blue Shield of California ("Blue Shield"), a not for profit health care service Plan, to the Subscriber whose identification cards are issued with this Agreement. In consideration of statements made in the application and timely payment of Dues, Blue Shield of California agrees to provide the benefits of this Agreement.
Evidence of Coverage and Health Service AgreementDental Ppo Plan 1000 • September 20th, 2021
Contract Type FiledSeptember 20th, 2021This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physi- cians' Service d/b/a Blue Shield of California ("Blue Shield"), a not for profit health care service Plan, to the Subscriber whose identification cards are issued with this Agreement. In consideration of statements made in the application and timely payment of Dues, Blue Shield of California agrees to provide the benefits of this Agreement.
EVIDENCE OF COVERAGE AND HEALTH SERVICE AGREEMENTDental Ppo Plan 1000 • May 21st, 2020
Contract Type FiledMay 21st, 2020This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physi- cians' Service d/b/a Blue Shield of California ("Blue Shield"), a not for profit health care service Plan, to the Subscriber whose identification cards are issued with this Agreement. In consideration of statements made in the application and timely payment of Dues, Blue Shield of California agrees to provide the benefits of this Agreement.