Blue Cross Form - Comprehension Questions

First Name: *

1. What is the plan member's last name?

0 分

Antonio

Xavier

Francis

Queen

清除所选内容

2. What is the plan member's email (USE CAPITAL LETTERS)?

0 分

3. What province is Francis from?

0 分

Newfoundland

New Brunswick

Quebec

清除所选内容

4. What is Francis's group number?

0 分

6857431-01

63214

18044

清除所选内容

5. What is his financial institution number?

0 分

103

095

440

清除所选内容

7. What is Francis's postal code (USE CAPITAL LETTERS)?

0 分