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BlueChoice HealthPlan of South Carolina
40th Anniversary BlueChoice HealhPlan
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Group Sales (51+) Form
Please provide your information so we can discuss what BlueChoice
®
can do for you!
Group Name
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ZIP Code
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Email Address
Number of Employees
Employee Benefits Manager
Does this group currently have medical coverage?
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No
Does this group currently have dental coverage?
Yes
No
Does the group work with an agent?
Yes
No
If so, please tell us their name and phone number.
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