Common Contracts
1 similar Plan I Standard contracts
EVIDENCE OF COVERAGE AND HEALTH SERVICE AGREEMENTPlan I Standard • October 5th, 2022
This 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.
