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Go to Step 1: Choose a plan
Go to Step 2: Read the eligibility and enrollment information Go to Step 3: Print an enrollment form Complete Step 4: Sign your enrollment form and mail it to: Priority Health, MS 1125 1231 East Beltline NE Grand Rapids, MI 49525 Payment Options You may have your premium automatically deducted from your checking or savings account or Social Security check. Learn more about payment options. When Coverage Begins Your coverage will begin the first of the next month and continue until you cancel it. You may only change or cancel your coverage at certain times; see the Evidence of Coverage booklet listed under each plan for complete details, or contact us. H2320_4000_4006_59 F&U (01/07) S5857_4000_4006_59 F&U (01/07)
Last modified
01/30/07
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