Common Contracts
1 similar Group Insurance Application contracts
Employer Group Application Attachment A to the Group AgreementGroup Insurance Application • November 5th, 2010
Employer hereby applies to BlueCross BlueShield of Tennessee, Inc. for group insurance benefits (Medical, Dental and VisionBlue products). If BlueCross BlueShield of Tennessee accepts this application, the Group Agreement issued will be materially as set forth in the specimen Group Agreement (including the Evidence of Coverage) (“Documents”) which have been reviewed. A copy is available upon request.
