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Health Insurance

Policy Summaries
2009-10 Employee Health Insurance Premium

2009-10 BCBSM Plan Blue

2009-10 BCBSM Plan Orange

2009-10 RX Plan

BCBSM Custom Formulary
BCBSM Enrollment/Change Form

Medco Mail Order Prescription Form

BCBSM Medical Claim Form
Retiree Health

2009 Retiree Health Insurance Policy

2010 Retiree Health Insurance Policy

BCBSM Medicare Plus Blue Group

Medco Mail Order Prescription Form

Aflac Dental

Aflac Premier Coverage

Aflac Dental Application

Aflac Standard Coverage

Aflac Cancellation Form

Aflac Basic Coverage

Aflac Dental Rates

Blue Dental Choice  
Plan 2 (no ortho)

Blue Dental Choice Rates

Plan 3 (child ortho)

Blue Dental Application

Links

Blue Cross Blue Shield of MI

Traveling with BCBSM? Find providers in the state/country you are visiting.
Customer Service Contacts

Aflac Agent (Karen Molengraf)
1.800.344.3531 ex. 7251

BCBSM (Blue or Orange Plan)
1.888.890.5712

BCBSM (Medicare Advantage)
1.866.684.8216

BCBSM Walk-In Customer Service (All Plans)
259 Hoover Blvd. Suite 160
Holland, MI 49423

Hours: M-F 8:30 am-12:30 pm and 1:35 pm-5:00 pm
(No phone calls or scheduled appointments available)

Blue Dental Customer Service
1.888.890.5712