Federal Tax ID NumberGroup Enrollment and Coverage Agreement • February 5th, 2012 • Michigan
Contract Type FiledFebruary 5th, 2012 JurisdictionBlue Care Network of Michigan (BCN) will provide health care coverage to Member's, i.e., eligible persons enrolled through the group identified below (Group) and participating in Group's employee welfare benefit plan providing health benefits (Group Health Plan or GHP) subject to the terms of applicable certificates and riders (Certificates and Riders), BCN's administrative and underwriting requirements, the Group Administrative Guide, (Guide), and the following terms and conditions of the Group Enrollment & Coverage Agreement (Agreement):