Mountain State BCBS - Agent Forms

For your convenience, Mountain State Blue Cross Blue Shield agent product information is available online.

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	Product Information Summary

Group SuperBlue 2008
	SB 2008 $500 Ded 70 50 30RX
	SB 2008 $500 Ded 70 50 50RX
	SB 2008 $500 Ded 80 60 30RX
	SB 2008 $500 Ded 80 60 50RX
	SB 2008 $1000 Ded 70 50 30RX
	SB 2008 $1000 Ded 70 50 50RX
	SB 2008 $1000 Ded 80 60 30RX
	SB 2008 $1000 Ded 80 60 50RX
	SB 2008 $1500 Ded 70 50 30RX
	SB 2008 $1500 Ded 70 50 50RX
	SB 2008 $1500 Ded 80 60 30RX
	SB 2008 $1500 Ded 80 60 50RX
	SB 2008 $2500 Ded 70 50 30RX
	SB 2008 $2500 Ded 70 50 50RX
	SB 2008 $2500 Ded 80 60 30RX
	SB 2008 $2500 Ded 80 60 50RX
	SB 2008 $5000 Ded 70 50 30RX
	SB 2008 $5000 Ded 70 50 50RX
	SB 2008 $5000 Ded 80 60 30RX
	SB 2008 $5000 Ded 80 60 50RX

Direct Pay SuperBlue 2008
	Direct Pay SB 2008

SuperBlue Plus2000
	SB Plus2000 $100 Ded
	SB Plus2000 $250 Ded
	SB Plus2000 $500 Ded
	SB Plus2000 $1000 Ded
	SB Plus25 $2500 Ded

SuperBlue Plus2004
	SB Plus2004 $1000 Ded
	SB Plus2004 $3000 Ded
	SB Plus2004 $5000 Ded