EVIDENCE OF COVERAGE AND HEALTH SERVICE AGREEMENTService Agreement • December 13th, 2021
Contract Type FiledDecember 13th, 2021This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physi- cians’ Service dba Blue Shield of California ("Blue Shield"), a health care service plan, to the Subscriber whose name, group number, Subscriber identification number, and Effective Date shall appear on his or her identification card.
EVIDENCE OF COVERAGE AND HEALTH SERVICE AGREEMENTService Agreement • August 25th, 2020
Contract Type FiledAugust 25th, 2020This Evidence of Coverage and Health Service Agreement (“Agreement”) is issued by California Physi- cians’ Service dba Blue Shield of California ("Blue Shield"), a health care service plan, to the Subscriber whose name, group number, Subscriber identification number, and Effective Date shall appear on his or her identification card.