Individual Enrollment Agreement Sample Contracts

INDIVIDUAL ENROLLMENT AGREEMENT

Individual Enrollment Agreement • October 19th, 2016

• Contract Type
  Individual Enrollment Agreement
• Filed
  October 19th, 2016

This Agreement, including any duly authorized attachments, notices, amendments, and riders, is issued to the Subscriber and contains the principal provisions affecting the Member(s) enrolled under the Agreement, and other provisions that explain the duties of CareFirst BlueChoice and those of the Subscriber or Application Filer.