Census Form For Quoting Purposes

 Instructions for completing columns 4-7

  • # of Total Members: Enter total number of members that will have regular BCBSM/BCN coverage.
  • # of Medicare Eligible: Enter total number of members that are medicare eligible but have BSBSM or BCN as their primary coverage.
  • # of Medicare Primary: Enter total number of members that are Medicare eligible and have Medicare as their primary coverage.
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