Evidence of Coverage and Health Service AgreementCoverage and Health Service Agreement • October 19th, 2023
Contract Type FiledOctober 19th, 2023This 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.
Evidence of Coverage and Health Service AgreementCoverage and Health Service Agreement • October 19th, 2023
Contract Type FiledOctober 19th, 2023This 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.