NOTICE TO BUYER OR NEW SUBSCRIBERMedicare Supplement Plan Evidence of Coverage • December 1st, 2014
Contract Type FiledDecember 1st, 2014This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physicians’ Service dba Blue Shield of California ("Blue Shield"), a health care service plan, to the Subscriber whose name, group number, Subscriber identification number and Effective Date shall appear on his or her identification card.