EVIDENCE OF COVERAGE AND HEALTH SERVICE AGREEMENTMedicare Supplement Plan • December 13th, 2024
Contract Type FiledDecember 13th, 2024This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physi- cians’ 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.