Common Contracts

1 similar Cobra and Nys Continuation of Coverage Premium Billing Agreement contracts

Federal COBRA and NYS Continuation of Coverage Premium Billing Agreement Form
Cobra and Nys Continuation of Coverage Premium Billing Agreement • April 10th, 2018 • New York

Please complete this form and return the completed copy to your Account Executive or your Account Management Associate at BlueCross BlueShield of Western New York, 257 West Genesee Street, Buffalo, New York 14202.

AutoNDA by SimpleDocs
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!