Blue Cross Blue Shield of Minnesota New Customer Options Blue Application



Attention Current Individual Blue Cross Blue Shield of Minnesota Contract Holder's
You do not have to fill out the full Options Blue Health Insurance Application



Steven A. Ehlen, Agent #HFBE6161
MN Insurance license #200889301

Holland & Frank Executive and
Employee Benefit Solutions, Inc
Independent Agent for Blue Cross Blue Shield of Minnesota
1101 2nd St. S. Suite 110
Sartell, MN 56377

Office:        (320) 252-2799
Toll-free:   (888) 577-1142
Fax:            (320) 257-4584
                   
(877) 577-5437

E-mail: steve@hollandandfrank.com