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AZBlue Sign Up Information

Last Updated:

4/21/2020

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Yes

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Email Verified:

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Your Address

Home Address, City, State, Zipcode

Phone Number

Phone

Post-Registration Data

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This site did not show evidence of storing passwords in plaintext.

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This site did show a clear way to unsubscribe from their emails

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to AZBlue.

BCBSAZ GROUP QUOTE FORMS...

Jon,

Thank you for your request regarding a group health insurance plan. Attached are the documents required for a quote for your company. If you are interested in receiving a group health proposal with rates, please complete the attached documents and e-mail to PhxBids.PhxBids@azblue.com

General requirements for Small Group

Company must have at least 1 eligible, common law (W2) employee and
At least 1 common law employee must enroll.
For businesses wholly owned by an individual or an individual and his/her spouse, another common law employee must enroll in order for there to be group coverage (the individual and his/her spouse are not considered common law employees for these purposes). In certain other instances, an owner may be a common law employee.

For expedited service, please return the census in its Excel format. I.e. do not convert to another format such as PDF etc.

Thank you.

Support Operations

Blue Cross^® Blue Shield^® of Arizona

FAX: (602) 864-5800

azblue.com

cid:image003.jpg@01D0829C.2ECFE530

The information in this email message is confidential and for the sole use of the intended recipient. If you are not the intended recipient, you are hereby notified that any dissemination, distribution, copying or use of this information is strictly prohibited. If you received this communication in error, please notify the sender immediately. Blue Cross and Blue Shield of Arizona, Inc. and its subsidiaries and affiliates are not responsible for errors, omissions or personal comments in this email message.

Raw Data Registration Structure Registration Form Text

Registration

Employer - Business Looking For Health Insurance [*] Indicates a required field. Fields with [*] are required. *Name

Title

Phone

Home address

City

State

Zipcode

Number of Employees

Please enter current insurance carrier or TPA Does your company work with an insurance broker or agent?

Yes

Data Name	Data Type	Options
Employer - Business Looking For Health Insurance [] Indicates a required field. Fields with [] are required. *Name	Text Box
Title	Text Box
Email	Text Box
Phone	Text Box
Home address	Text Box
City	Text Box
State	Text Box
Zipcode	Text Box
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
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	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
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	dropdown	Number of Employees
	dropdown	Number of Employees
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	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
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	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	dropdown	Number of Employees
	option	Please enter current insurance carrier or TPA Does your company work with an insurance broker or agent?
	option	Yes