We ask that you let us know by filling out only part of the form. It'll only take you a couple minutes.

Here's how to complete your form online:

  1. Log in to your account at bcbsm.com
  2. Go to Account Settings
  3. Go to Coordination of Benefits
  4. From there, you'll be guided through the form

When you fill out your form online, it'll prepopulate with the members on your contract, saving you time.