federal life insurance payer id

We will make every attempt to review your estimated financial responsibility with you prior to your scheduled service. Box 14053 The first two digits specify the state in which the provider is located, and the last four digits indicate the type of facility. (Contact: +91 - 9790917082, Emai ID: po@probusinsurance.com) REGISTERED OFFICE: 7A, 7TH Floor, Gopala Tower Rajendra Place, New Delhi Pin . Payer IDs Sheet3 Sheet2 Sheet1 Aetna AETNA Aetna Long Term Care EMPALT AFTRA Health Fund EMPAHF Alabama Medicaid 12K01 ALMCAID CKAL1 SKAL0 Alaska Electric EMPALE Altius Health Plan SX113 CHCALT American Community Mutual MDACM American General Insurance EMPAMG American Postal Workers Union Health Plan EMPAPWU American Republic Insurance Company An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. You will receive an estimate of cost prior to your services. SMKY0 AdminaStar Federal, Inc. (CMIC) US OUT Y . Check out the changes and updates to our plan in 2023. Crystal Run Health Plans. CIN - U66010MH2007PLC167164. Labcorp will file claims for insured patients directly to Medicare, Medicaid, and many insurance companies and managed care plans. is provided by UTMB to help answer questions you may have related to your visit. Payer ID List. As long as you can identify yourself or get a company member to do so, you should be able to obtain the number. Payer 276 List Payer ID Payer Name CX036 Group Dental Services(Houston, TX & Rockville, MD) CX061 Guarantee Life Insurance 64246 Guardian Life Insurance Company of America (Spokane, WA, El Paso, TX) 95266 Harrington Benefit Services (Columbus, OH) 75196 Harrington Benefit Services (Westerville, OH) 10002 Hawaii Dental Service Assoc (Honululu(, HI) Affordable premiums, conveniently deducted from your paycheck. Heres everything you need to know about it. Final charges may be different from the costs discussed during the phone call if the actual treatment is modified at the time of service. (For example, if your service was provided on March 5, 2021, you have until December 31, 2022 to submit your claim). Exclude Nationwide. Check SEC filings of public companies to find their EINs. Tax-deferred accumulation of fund value. What is a payer ID? UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security) . Payer Name: Freedom Life Insurance Company Payer ID: 62324. Affinity Health Plan. Need to submit a claim? Use this form to submit a claim to be reimbursed for services that are covered under Service Benefit Plan dental benefits. 91136. At UTMB Health, we are committed to providing the very best medical care to all patients. 584. Download the Medicare Reimbursement Account (MRA) Pay Me Back claim form: Complete the form following the instructions on the front. Submit a separate claim for each patient. 13162 1199 NATIONAL BENEFIT FUND IN N 31147 1-888-OHIOCOMP (Ohio BWC) OUT N . bankers claim ser. If you work with the company regularly, call their treasurer, comptroller, payroll department or accountant. What is "convertible" term life insurance? 1199 National Benefit Fund. Start saving time and money today. YES. Auto or Home Insurance. This payer id is only valid for claims with date of service on or after 1/1/2018. Payer ID Payer Name State Network Enroll Reqd? Let us show you with a personalized demonstration how APEX EDI can benefit your practice. UnitedHealthcare Options PPO (If the subscriber lives in Utah) EDI Payer ID #39026 UnitedHealthcare Shared Services Ageas Federal Life Insurance Company Limited Registered Address: - Ageas Federal Life Insurance Company Limited, 1st Floor, Trade View, Oasis Complex, Kamala City, P.B. Download the overseas medical claim form: AARP Dental Insurance Plan: BK400: Abatement Workers Regional Local 207 Welfare Fund: 38259: ABS -US Health: 93524: Access Dental of Oregon: 91185: Access Dental Plan: 64071: Acclaim, Inc. DX346: ACG - International Union of Operating Engineers Local 701 Trust Funds: 72468: ACS Benefit Services, Inc. CX076: Administrative Services Only (ASO) CPPSA Thank you! We are equally committed to making it simple to understand our financial and billing practices, and to give you a sense of what to expect before, during and after your services at UTMB. 585. Trupti B. Sun Life Insurance and Annuity Company of New York: 67.00%: Insurer : Keyport Financial Services Corp. 100.00%: Non-Insurer: 61-0403075 64602 RI : Independence Life and Annuity Company: Copyright 2022 Leaf Group Ltd. / Leaf Group Media, All Rights Reserved. Principal Life Insurance Co is a corporation in Des Moines, Iowa. Please call the Office of Federal Employees' Group Life Insurance (OFEGLI) at 1-800-633-4542 to file a FEGLI claim. The Federal Government established the Federal Employees' Group Life Insurance (FEGLI) Program on August 29, 1954. GuideStar is a nonprofit organization with a database of Form 990s, which provide a nonprofit organization's financial information. Without pre-authorization from your insurance, you will be responsible for the total cost. March 4, 2020 12:09 PM. You may have just joined a nonprofit board and are asked for the number by a vendor. COMMERCIAL. 13334. Your submission has been received! Locate the company's tax number from your 1099 or W2. If you have already filed taxes for your business using your EIN, you can find the number on a previously filed tax return. As a UTMB Health patient, you have access to your medical record 24/7 with MyChart, a confidential and secure online tool. Your EIN will be on your annual tax filings. Our high-volume of direct connections help eliminate third-party errors and speed payment for providers in all 50 U.S. states, Puerto Rico and Guam. You can search by payor ID or Payor Name for payers that accept electronic claims and attachments, or that provide electronic insurance eligibility verification. If you are an eligible employee you are automatically enrolled in Basic insurance, which covers your life for your annual rate of pay rounded up to the nearest whole $1,000 plus $2,000. www and internet image by mbs from Fotolia.com. Institutional/UB Claims. Military Customer Support Get help with products or forms Ask questions about your policy Report a claim Life Insurance 1-800-929-4765 Medicare Supplement The payor search tool helps you identify the insurance companies you work with that offer electronic connectivity. It is important for patients to understand the costs of their health care before deciding on services. be made prior to service for any amount not covered by insurance, including deductibles, co-payments, and co-insurance. Search your other tax-related documents such as vendor 1099s. The EIN is in the B part of the W2 and is also on the 1099. Y N. Commercial UnitedHealthOne / UnitedHealthcare Life Insurance Company - Golden Rule. 436. Use this form to submit a health benefit claim for services that are covered under the Blue Cross and Blue Shield Service Benefit Plan. Health Net of California, Health Net Health Plan of Oregon, Inc and Health Net Life Insurance Company (Health Net) and providers use this technology to communicate claims, electronic remittance, claims payment . By continuing to use this website, you consent to these cookies. Careers. Read More: How to Find a Company's EIN Number. Health Benefits Claims. Or mail a paper copy, along with proof that you paid a Medicare Part B premium, to: Complete the form following the instructions on the back. Payer ID Dental Payer ID COB Smart Edits Comments: Commercial: Arnett Health Plan: 87726: Y Y: former payer id 95440 Commercial; . COMMERCIAL. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Electronic Remittance (ERA) YES. NAHGA Claim Services P.O. Get to know about all IDBI Federal life plans, their feature & buy that best suited to your requirements. Here are some of its features. To obtain the payer ID please call (440) 262-1160. We use cookies on this website to give you the best experience and measure website usage. A (EXCELLENT) AM Best Rating $310 MILLION In Capital 53 YEARS of Partnerships 13 MILLION Policyholders What We Build We are pleased to offer a single point of financial customer service for services provided at our facilities by UTMB providers. You can find your own lost or misplaced EIN in the original IRS confirmation of your application for an EIN. A payer ID is a unique ID that's assigned to each insurance company. EIN for organizations is sometimes also referred to as taxpayer identification number or TIN or simply IRS Number. You may experience wait times when calling the IRS or using government databases. We cover up to $60 per visit, per service. 46120. If you use a provider outside of our network, you'll need to complete and file a claim form to be reimbursed. ALBANY CITY SCHOOL DISTRICT (NY) - CORVEL (WC) (. English, Download the overseas retail prescription drugclaim form: If you have questions, please contact your local Blue Cross and Blue Shield company. (For example, if your service was provided on March 5, 2021, you have until December 31, 2022 to submit your claim). 9:00 am 6:00 pm MST, Monday through Friday, Multi-Year Guarantee Annuity Service Center, SILAC Medicare Supplement Service and Agency Center. If you work with the company regularly, call their treasurer, comptroller, payroll department . It is one of the corporates which submit 10-K filings with the SEC. Also look up vendor 1099s you have issued. Submit a separate claim for each patient. Schedule a Demo You can find a companys Federal Identification Number on tax forms, from the companys payroll or other departments, or from databases maintained by the Securities and Exchange Commission or Melissa Data. 31147. 80705 Anthem Health and Life Insurance Company of New Jersey NJ IN N 16140 APA PARTNERS IN N PROSP APAC (Pinnacle Health Resources) (Prospect Medical Group) IN N . Title: EDI: Electronic Remittance Advice (ERA/835) Payer List for UnitedHealthcare Affiliates and Strategic Alliances Author: kalle44 Subject: Listing of Payer ID by State and Brand . See rating guide information. For Ambulatory Surgery Centers, the MPN is 10 digits with the first two digits representing the state where the surgery center is located. Call a non-profit organization's accountant, treasurer or bank to get the organization's EIN. The EIN is in the B part of the W2 and is also on the 1099. Search Freedom Life Insurance Company PayerID 62324 and find the complete info about Freedom Life Insurance Company Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . Disability Claim Status. The payer ID is typically a 5 character code, but it could be longer. When making the call, mention the emergency situation. Search for the company by name and select the document that you want to view. If you would like to make a payment on your account but are not a MyChart user, please call UTMB Customer Service:(877) 463-0103 or (409) 515-7049. US Securities and Exchange Commission: Edgar: Filings and Forms. A patients financial responsibility their share of charges will vary, depending on insurance coverage and plan specifications or payment plan negotiated. Call. Federal ID# % of voting shares: Insurer/ Non-Insurer : Sun Life Financial Services of Canada Inc. 100.00%: Non-Insurer: 38-1082080 . Experian Health has direct connections with more than 900 U.S. payers, managed care organizations, third-party administrators (TPAs), and government agencies, and are continually adding more. Professional Institutional. If you opened a bank account or applied for a license for your business, you can also obtain the EIN from the bank or licensing agency. ALASKA UNITED FOOD & COMM. businessman calling on phone white bg image by patrimonio designs from Fotolia.com. Contact Customer Service ext. Federal Life Group, Inc. is the parent of Federal Life Insurance Company, an independently operated provider of quality life, health and annuity insurance products. Any business that has employees must obtain a nine-digit federal EIN that enables the IRS to identify the business for tax purposes. COMMERCIAL. If you have active health insurance that does not cover your upcoming service, you have the following options available to you: Your insurance may require approval for certain services before you receive them to determine how much they will pay. Life Insurance from Federal Life can help you achieve the freedom to explore life's possibilities in three important ways: Security Life insurance can provide financial security for your loved ones or business from the "what ifs" in life. FLIC is headquartered in Riverwoods, Illinois just northwest of Chicago and has been incorporated since 1899. This means you will be responsible for the entire cost if your insurance does not pay the bill. We bridge the gap between healthcare providers and payers nationwide. Perhaps you are freelancing for a new company and need the number for a project resource. 38241. UTMB FAQs and Contact Information website, Patient Navigation website (guidance/assistance for patients at UTMB), Information and resources for our patients, The University of Texas Medical Branch at Galveston, Referring Physician/Health Care Professional, Email UTMB Health Customer Service Office. Claims Administrator Expand All. Below you can find a sample of PNT's Payer ID list. Locate the company's tax number from your 1099 or W2. With one phone call or email we may answer many of your billing questions. Please review the terms of use and privacy policies of the new site you will be visiting. You will need to identify yourself as one of the following: a sole proprietor, a partner in a partnership, a corporate officer, a trustee of a trust or an executor of an estate. COMMERCIAL. Step 1. The EIN can be located on the first page of 10-Ks, 20-Fs and other SEC filings. MyChart allows you to view your health record, billing information and more. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Federal employees, Federal retirees (if they meet certain criteria to continue the coverage into retirement), and their family members can be covered under Basic and Optional insurance. Submit a separate claim for each member. English Espaol. contact your local Blue Cross and Blue Shield company. Dental Claim Payors (NY) 01084 First Ameritas Life Ins. Call Your privacy is important to us. Electronic Services Available (EDI) Professional/1500 Claims. Freedom Life Insurance gives you the freedom to dream big. Cancel the treatmentand reschedule with a provider in your network. Select nonprofit organizations under the federal resources tab. Enter the organization's name to find the EIN on the organization's information page. 02463 amalgamated life & health other payer id other payer name 02656 amalgamated life & health 00111 amalgamated life & health insurance co 07536 amalgamated life insurance 06058 amalgamated life insurance company 00114 ameraplan, inc 04423 ameriben solutions (abs) 07936 ameriben solutions inc 02522 american airlines benefits required payment, your visit may be rescheduled for a time when you will be able to make the payment. Check to see if that data is with your company formation papers. Claims Center. Enrollment Required (ENR): No Type / Model: Commercial/Par State: TX . (You can fill the form in electronically or complete it by hand.). Employee Benefit Claims of Wisconsin. Box 189 Bridgton, ME 04009 Email: claims@nahga.com File claims electronically: Payer ID 67788 Questions: Contact 800-952-4320 Fax: 207-647-4569 ATIN. We want to hear from you. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Contact. Search. For Short Term Medical Members: 1-878-222-4415. 10187 Coventry Healthcare - Federal. Phone. 2019 UnitedHealthcare Services, Inc. To obtain the payer ID please call (440) 262-1160. This means any company that files tax forms 8-K, 10-K or 10-Q reports on corporate tax returns is maintained in a free public database called EDGAR. If you have questions regarding the current PNT Payer ID List or any other service offering, please contact our Support Team at (860) 257-2030 or email support@pntdata.com. Call the Internal Revernue Service Business and Specialty Tax Line at 800-829-4933. Please enter the unique policy number or ID card when submitting claims. 38692. 10777 Northwest Freeway Houston, Texas 77092 United States OPERATIONS OFFICE 13831 Northwest Freeway Houston, Texas 77040 United States STANDARD LIFE & CASUALTY 4525 S. Wasatch Blvd, Suite 150 Salt Lake City, UT 84124-4221, USA standardlifeco.com WESTERN SKIES/MGU 9300 Sun City Blvd., Ste 105 Las Vegas, NV 89134, USA westernskiesmgu.com If you have any questions or a general inquiry, simply fill out the form below and a SILAC representative will get to you shortly. 503 service@federallife.com Email Customer Service License Category: Life Insurance Company, Corporate Identity Number (CIN . Be sure to check that the company has not changed their name when using databases. For any scheduled service, UTMB Health requires a deposit and payment arrangements to Some insurance companies use non-standard 1099-R forms. Include proof that you paid a Medicare Part B premium. (For example, if you have an out-of-network plan or if your service does not meet Medicares medical necessity guidelines.) Payer ID valid only for claims with a billing submission address of PO Box 982005 Ft. Worth TX 76182. Medical and Dental Insurance Payer List and Payer ID Below is a list of the insurance companies and payer ID to which Apex EDI sends claims electronically. Crystal Run Health Plans. An Adoption Taxpayer Identification Number (ATIN) is a temporary nine-digit number issued by the IRS to individuals who are in the process of legally adopting a U.S. citizen or resident child but who cannot get an SSN for that child in time to file their tax return.. Form W-7A, Application for Taxpayer Identification Number for Pending U.S. Adoptions is used to apply for an ATIN. NAIC Group Code 0918 0918 NAIC Company Code 65056 Employer's ID Number 38-1659835 (Current) (Prior) . Open in new window. Corp. of N.Y. 72630 Dental Network of America 00948 First Continental Life & Accident Insurance 01074 Dental Select (UT) 00904 First Dental Health 01081 DentalComp (paper) 00886 First Health 87043 (+)/(ID) = Additional special enrollment required for payer Most employees are eligible for FEGLI coverage. 8,000+ payer connections can save time and money. po box 37504: oak park: mi: 48237: 98999: 1275: x: aaa mi review dof 443: po box 26260: san diego: ca: 921960260: 98999: 0803: x: aaa mi review unit dof 44: po box 26260: san diego: ca: 921960260: 98999: 1311: x: aaa mi review unit dof 44: po box 26260: san diego: ca This identifier is a six-digit number. The Securities and Exchange Commission maintains the Electronic Data Gathering, Analysis and Retrieval system, known as EDGAR, where you can find a publicly traded company's EIN on forms such as the company's 8-K or 10-K filings. Your accountant will also have a copy of your tax filings if you do not. P.O. Health Plan/Payer Business Telephone Number. You must pay upfront for the services and submit an itemized bill for reimbursement. 1st Medical Network - Atlanta GA. A.M. Best Company rated Federated Insurance as A+ Superior. 586. Call. You can find a nonprofit organization's EIN online at Melissa Data. Whether you are starting your first company or you are a dedicated entrepreneur diving into a new venture, Bizfluent is here to equip you with the tactics, tools and information to establish and run your ventures. Your member ID card is your key to using your medical plan benefits. It's quick and easy! We make it easy to manage your healthcare finances, claims and health information. Professional . Reschedule for a similar treatmentthat may be covered by your insurance. ALASKA PIPE TRADERS LOCAL 375. 13162. If you do not provide us with insurance information or you do not have active insurance coverage, payment for all services is your responsibility. You have to look carefully in the header of the document for Payer's TIN, Payer's EIN or Payer's ID. Tax-free death benefit to your beneficiary. The Insurance Payer ID is a unique identification number assigned to each insurance company. J1577. The company's EIN will appear on the selected document. Universal life insurance provides these added benefits. If you have health insurance, please contact your health plan to understand your coverage, deductibles and related financial obligations. Not-for-profit groups need a tax ID number to avoid paying tax on items bought for the organization's projects. At UTMB, we believe that everyone should have access to the very best health care possible. Because the database is so expansive, having as much company information as possible helps narrow the search results to find the correct company. If you do not have health insurance, UTMB Health will provide information related to the hospital's. To obtain the payer ID please call (440) 262-1160. 46430. If you have questions, please contact your local Blue Cross and Blue Shield company. Marg, Lower Parel (West), Mumbai 400013. www.ageasfederal.com. Health Plan/Payer Business Web Address. By looking at official filing documents that use the numbers to track funds, it is easy to find the information. A portable policy you can keep if you change jobs or retire. 435. . Include itemized bills for covered services or supplies. Telecommunications Device for the Deaf (TDD): (409) 772-4200. Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Electronic data interchange (EDI) is the exchange of business transactions in a standardized format from one computer to another. 91136. Some federal identification number look-up tools are available online. Some services are not covered by insurance companies. Email UTMB Health Customer Service Office or call (877) 463-0103 or (409) 515-7049 Pay My Bill MyChart makes it easy! Learn how to sign up for MyChart. An avid gardener, Evans has a Bachelor of Arts in political science from the University of New Hampshire, a Juris Doctor from Vermont Law School, and a personal trainer certificate from American Fitness Professionals and Associates. https://www.sierrahealthandlife.com. We are pleased to offer a single point of financial customer service for services provided at our facilities by UTMB providers. 2022 Leaf Group Ltd. / Leaf Group Media, All Rights Reserved. In her career, Maryann Kay has transitioned from advertising writer to corporate financial/consumer vice president on billion-dollar businesses. Members in the U.S. can visit any therapist, but they must be licensed. You may receive a call, email or MyChart message to explain the estimated amount you may owe for your upcoming service. If you have misplaced your federal Employment Identification Number, or EIN, you can find the number on tax returns or other Internal Revenue Service documents. 587. There are also three Optional insurances you can elect. 135, 19 th Dec, 07. This is the foundation of a solid life plan. Small Business Administration: Obtain Your Federal Business Tax ID. Print and mail the form to the Blue Cross and Blue Shield company in the state that the services were rendered by December 31 of the year following the year you received service. UTMBs Patient Financial Policy helps explain this process. Please remember to check back on this page for the most current list of Payers and transactions. This ID is used to submit claims electronically through our system. As the first company in the U.S. to offer life insurance policies without a War Exclusion Clause, GPM Life has been focused on helping and serving our retired Military for over 80 years. (You can fill the form in electronically or complete it by hand.). payer id: claim office # type: name: address: city: state: zip: 98999: 2691: x: a.b.s. Calculating all costs beforehand can be a confusing process. The following information Copyright 2022 SILACInsurance Company. Employee Benefit Claims of WI. Something went wrong while submitting the form. Through human-enabled AI, machine learning, human oversight, and some manual efforts, we are able to provide more details for more payers than ever before. Health Plan/Payer Organization Name (Legal Business Name) Web Address. Payer Id. Intuit: TurboTax FAQ How Do I Find My Employer Identification Number (EIN)? 437. Some federal identification number look-up tools are available online. Fidelity Security Life Insurance Company Come Build With Us Over half a century of earning the trust of our partners with an unsurpassed commitment to collaborative, customized product solutions that lead to mutual success. Please visit our Financial Assistance page to learn more about options available to you. For All Other Members: 1-878-222-4411. These services are created for businesses that routinely need to look up EINs, but can be used on a less-frequent basis by small businesses and freelancers. AMM03 299 South Main Street, Suite 1100 Salt Lake City, Utah 84111 Phone Number: 800-352-5150(toll free) 9:00 am - 6:00 pm MST, Monday through Friday Annuity Contacts Agency Services Hours: 6:30 am - 5:00 pm MST, M-F Phone:888-352-5120 Annuity.AgencyServices@SILACins.com Fixed index Annuity Service Center Hours: 6:30 am - 5:00 pm MST, M-F If pre-authorization has not been given prior to your service, we may need to reschedule your treatment. Fax. Use this form to submit a claim to be reimbursed for paying Medicare Part B premiums. Established in 2008, IDBI Federal is one of India's . Judith Evans has been writing professionally since 2009, specializing in gardening and fitness articles. Search your tax filing records for your own EIN. 18.1 Current federal and foreign income tax recoverable and interest thereon 237,412,244 0 237,412,244 347,315,477 If you are an employee or vendor of the company whose EIN you are trying to find, look at the tax document you received from them. Box 30783, Salt Lake City, UT 84130-0783 UHC Provider Services Phone: (877) 343-1887. Alaska National Insurance - CORVEL (WC) P1577. Email UTMB Health Customer Service Office or call(877) 463-0103 or (409) 515-7049. Carriers Currently Filed by Labcorp. We wish you to stay healthy and stay safe. Life Insurance Claims (not purchased through an employer) Life Insurance Claims (purchased through an employer) Dental Claims Status. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Benefit from thousands of electronic payer connections to streamline your claims processing and increase accuracy. If you received a purchase order from the company, the EIN will be on the purchase order. Be aware of other companies that claim to have . For more information, view our privacy policy. Choose Transaction Type Claims Remittance Advice Real-time Eligibility Electronic COB Real-time Claim Status Claim Attachments Authorizations and Referrals Patient Responsibility Estimation Insurance Eligibility Discovery. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. If you search by entering the zip code, you will have to select the organization from a list of nonprofits within that zip code. Ohio BWC. Expert Alumni. WORKERS HEALTH. Payer List. The current and complete Payer ID list can be accessed by downloading the PDF or Excel file. The IRS sent you a computer generated receipt when you requested the EIN. Aetna TX Medicaid & CHIP. YES. For citizens that wish to avail a life insurance policy from IDBI Federal Life Insurance or for existing customers, they can contact the customer care unit of the insurer either through the given email ID, toll-free number, or call back service. Use an Internet-based search service if all else fails. Search for Payor Information. CareFirst Federal Employee Program CARFEP X12 No CareMore IPA CRMRE CARMO X12 No CarePlus Health Plans, Inc. CRPLUS 95092 . Claims and Customer Service. Insurance Name. Protect your family with the best policies offered by IDBI Federal Life Insurance. EINs were created to track the flow of funds, especially income. UTMB Health is committed to diversity, equity and inclusion. 37602 . FSBP covers 50 massages, 50 chiropractic, and 50 acupuncture visits per calendar year, per member. Federated Insurance's Benchmarks. The employer identification number (EIN) for Principal Life Insurance Co is 420127290. bankers: po box 37511: oak park: mi: 48237: 98999: 0248: x: a.b.s. Print and mail the form to your local Blue Cross and Blue Shield company by December 31 of the year following the year you received service.

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