ESBD_398114_1740251881456_F022710 STD Claims Status Report 10.1.2021-12.30.2024.xlsx
XLSX spreadsheet 107 KB Posted
- Attached to
- Life and Disability Plans
- Solicitation number
- RFP2025-015
- Issued by
- Henderson County, Texas
About this file
This is a Short Term Disability (STD) claims status report for the City of Waco covering the period from October 1, 2021, to December 30, 2024. The report details 44 STD claims processed through Dearborn Life Insurance Company (operating as Blue Cross and Blue Shield of Texas), tracking various claim statuses including approved, denied, closed, and pending cases. The claims are categorized under different employee eligibility classes including "All Full-time EEs" and "AAFT ELECTING" with benefit levels of $500 and $750.
The report shows various claim outcomes with total payments ranging from $0 to $13,000 per claim. Common denial reasons included pre-existing conditions, failure to provide required information, and work-related conditions. Successful claims were typically closed due to return to work, maximum duration of benefits reached, or advance pay and close. The average benefit amounts varied significantly, with weekly benefits typically ranging from $445 to $750. The data includes detailed tracking of claim receipt dates, benefit begin dates, approval dates, and claim completion dates for each case.
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Text version
Claim Status Report_Excel
Claim Status Report for CITY OF WACO
| Group Number: | F022710 | ||||||||||||||||||||||||
| Line of Coverage: | ALL | ||||||||||||||||||||||||
| From Date: | 10/01/2021 | ||||||||||||||||||||||||
| To Date: | 12/30/2024 | ||||||||||||||||||||||||
| Data as of Date: | 12/28/2024 | ||||||||||||||||||||||||
| Employee | Eligibility | Claim | Benefit | Claim | Latest | Age | Last Date | Max | Claimant | Employer | Physician | Required | |||||||||||||
| Account | Account Name | Location | Product Type | Coverage | Product | Employee | Eligibility | Class | Claim | Status | Status Reason | Received | Begin | Approved | Benefit | Total Paid | Payment | at | of | Event Date | Duration | Statement | Statement | Statement | Information |
| Number | Description | Type | ID | Class | Description | Number | Date | Date | Through | Amount | Date | Event | Work | Date | Rec'd | Rec'd | Rec'd | Completed | |||||||
| Number | Date | Date | |||||||||||||||||||||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-181590 | Closed | Advance Pay & Close | 05/10/2023 | 04/08/2023 | 05/19/2023 | $500.00 | $3,000.00 | 05/18/2023 | 32 | 03/24/2023 | 03/25/2023 | 10/06/2023 | 05/10/2023 | 05/10/2023 | 05/10/2023 | 05/10/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-268626 | Closed | Advance Pay & Close | 06/25/2024 | 06/07/2024 | 07/05/2024 | $545.72 | $2,260.84 | 07/17/2024 | 33 | 05/23/2024 | 05/24/2024 | 12/05/2024 | 06/25/2024 | 06/25/2024 | 06/25/2024 | 06/25/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-221820 | Denied | Pre-existing Condition | 12/26/2023 | 01/06/2024 | $705.60 | $0.00 | 58 | 12/10/2023 | 12/11/2023 | 07/05/2024 | 12/26/2023 | 01/11/2024 | 12/26/2023 | 01/11/2024 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 3 | AAFT ELECTING $500 | GDC-270377 | Denied | Pre-existing Condition | 07/16/2024 | 07/06/2024 | $500.00 | $0.00 | 58 | 05/17/2024 | 05/18/2024 | 01/03/2025 | 09/26/2024 | 07/16/2024 | 07/16/2024 | 09/03/2024 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-264129 | Denied | Pre-existing Condition | 05/03/2024 | 05/23/2024 | $467.32 | $0.00 | 66 | 05/05/2024 | 05/09/2024 | 11/20/2024 | 05/03/2024 | 05/03/2024 | 05/03/2024 | 05/21/2024 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 2 | AAFT ELECTING $750 | GDC-273449 | Denied | Pre-existing Condition | 08/19/2024 | 08/15/2024 | $711.20 | $0.00 | 48 | 07/19/2024 | 07/22/2024 | 02/12/2025 | 08/19/2024 | 09/10/2024 | 08/23/2024 | 09/10/2024 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-206958 | Closed | Return to Work | 10/31/2023 | 11/16/2023 | 02/04/2024 | $645.40 | $7,468.20 | 02/05/2024 | 36 | 11/02/2023 | 11/02/2023 | 05/15/2024 | 10/31/2023 | 10/31/2023 | 10/31/2023 | 11/02/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-202447 | Closed | Return to Work | 09/12/2023 | 08/22/2023 | 10/16/2023 | $677.87 | $5,422.96 | 11/13/2023 | 52 | 08/07/2023 | 08/08/2023 | 02/19/2024 | 09/12/2023 | 09/18/2023 | 09/12/2023 | 09/18/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-90486 | Closed | Advance Pay & Close | 09/16/2021 | 09/06/2021 | 09/19/2021 | $500.00 | $1,000.00 | 10/08/2021 | 36 | 08/22/2021 | 08/23/2021 | 03/06/2022 | 09/16/2021 | 09/16/2021 | 09/16/2021 | 09/16/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-96040 | Closed | Return to Work | 11/16/2021 | 11/24/2021 | 01/09/2022 | $500.00 | $3,357.14 | 01/10/2022 | 51 | 11/10/2021 | 11/10/2021 | 05/24/2022 | 12/03/2021 | 11/16/2021 | 11/18/2021 | 12/03/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-109891 | Closed | Return to Work | 04/29/2022 | 05/06/2022 | 06/05/2022 | $500.00 | $2,214.29 | 06/06/2022 | 56 | 04/21/2022 | 04/22/2022 | 11/03/2022 | 04/29/2022 | 04/29/2022 | 04/29/2022 | 04/29/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-198192 | Closed | Return to Work | 07/27/2023 | 07/04/2023 | 07/23/2023 | $750.00 | $0.00 | 53 | 06/19/2023 | 06/20/2023 | 01/01/2024 | 09/11/2023 | 09/11/2023 | 07/27/2023 | 09/11/2023 | |||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-220289 | Closed | Return to Work | 12/05/2023 | 10/10/2023 | 11/06/2023 | $750.00 | $3,000.00 | 12/14/2023 | 53 | 09/25/2023 | 09/26/2023 | 04/08/2024 | 12/05/2023 | 12/05/2023 | 12/05/2023 | 12/05/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-90215 | Closed | Return to Work | 09/13/2021 | 09/15/2021 | 01/31/2022 | $500.00 | $9,928.57 | 02/16/2022 | 59 | 08/10/2021 | 08/11/2021 | 03/15/2022 | 09/13/2021 | 09/16/2021 | 09/13/2021 | 09/16/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-109117 | Closed | Maximum Duration of Benefits | 04/19/2022 | 05/05/2022 | 11/02/2022 | $500.00 | $13,000.00 | 11/02/2022 | 51 | 04/20/2022 | 04/21/2022 | 11/02/2022 | 04/19/2022 | 04/19/2022 | 04/19/2022 | 04/21/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 3 | AAFT ELECTING $500 | GDC-269459 | Closed | Maximum Duration of Benefits | 07/03/2024 | 04/12/2024 | 10/10/2024 | $500.00 | $13,000.00 | 10/17/2024 | 69 | 03/12/2024 | 03/13/2024 | 10/10/2024 | 07/17/2024 | 07/03/2024 | 07/03/2024 | 07/17/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-87312 | Closed | Return to Work | 08/12/2021 | 09/07/2021 | 10/05/2021 | $500.00 | $2,071.43 | 10/05/2021 | 64 | 08/23/2021 | 08/24/2021 | 03/07/2022 | 08/12/2021 | 08/12/2021 | 08/30/2021 | 08/30/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-274520 | Closed | Advance Pay & Close | 08/29/2024 | 08/19/2024 | 09/16/2024 | $588.00 | $2,436.00 | 10/25/2024 | 33 | 08/02/2024 | 08/05/2024 | 02/16/2025 | 08/29/2024 | 08/29/2024 | 08/29/2024 | 08/28/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-129379 | Closed | Return to Work | 12/19/2022 | 12/10/2022 | 06/04/2023 | $484.12 | $12,241.32 | 08/25/2023 | 49 | 11/23/2022 | 11/26/2022 | 06/09/2023 | 12/19/2022 | 12/19/2022 | 12/19/2022 | 12/19/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-224888 | Closed | Return to Work | 01/30/2024 | 02/02/2024 | 02/04/2024 | $508.40 | $217.89 | 02/05/2024 | 50 | 12/08/2023 | 12/11/2023 | 08/01/2024 | 01/31/2024 | 01/31/2024 | 01/31/2024 | 01/31/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-129002 | Closed | Return to Work | 12/14/2022 | 12/29/2022 | 01/17/2023 | $500.00 | $1,428.57 | 01/20/2023 | 29 | 12/13/2022 | 12/15/2022 | 06/28/2023 | 12/14/2022 | 12/14/2022 | 12/14/2022 | 12/14/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-224894 | Closed | Return to Work | 01/30/2024 | 01/30/2024 | 03/10/2024 | $747.32 | $4,377.16 | 03/12/2024 | 50 | 01/12/2024 | 01/14/2024 | 07/29/2024 | 01/30/2024 | 01/30/2024 | 01/30/2024 | 01/30/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-101893 | Closed | Return to Work | 01/25/2022 | 11/23/2021 | 12/19/2021 | $500.00 | $1,928.57 | 02/25/2022 | 54 | 10/29/2021 | 11/09/2021 | 05/23/2022 | 01/25/2022 | 01/25/2022 | 01/25/2022 | 01/25/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-201826 | Denied | Not Disabled Own Occupation | 09/05/2023 | 08/01/2023 | $461.14 | $0.00 | 29 | 07/17/2023 | 07/18/2023 | 01/29/2024 | 09/05/2023 | 09/12/2023 | 09/05/2023 | 09/12/2023 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 3 | AAFT ELECTING $500 | GDC-276392 | Closed | Return to Work | 09/18/2024 | 07/22/2024 | 09/29/2024 | $500.00 | $5,000.00 | 09/30/2024 | 37 | 07/05/2024 | 07/08/2024 | 01/19/2025 | 09/18/2024 | 09/18/2024 | 09/23/2024 | 09/23/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 2 | AAFT ELECTING $750 | GDC-292244 | Closed | Advance Pay & Close | 11/18/2024 | 10/26/2024 | 12/30/2024 | $725.20 | $6,837.60 | 12/30/2024 | 54 | 09/20/2024 | 09/30/2024 | 04/25/2025 | 11/18/2024 | 11/18/2024 | 11/18/2024 | 11/18/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-196561 | Closed | Return to Work | 07/10/2023 | 07/13/2023 | 07/25/2023 | $500.00 | $928.57 | 08/07/2023 | 33 | 06/27/2023 | 06/28/2023 | 01/10/2024 | 07/10/2023 | 07/10/2023 | 07/10/2023 | 07/10/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-108256 | Denied | Work Related Condition | 04/08/2022 | 12/16/2021 | $500.00 | $0.00 | 45 | 11/19/2021 | 12/02/2021 | 06/15/2022 | 04/08/2022 | 04/08/2022 | 04/08/2022 | 04/08/2022 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-220512 | Closed | Death | 12/11/2023 | 12/15/2023 | 01/11/2024 | $750.00 | $5,250.00 | 01/26/2024 | 42 | 11/13/2023 | 11/29/2023 | 06/13/2024 | 12/11/2023 | 12/11/2023 | 12/11/2023 | 12/11/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-289463 | Pending | 10/18/2024 | 10/09/2024 | $577.92 | $0.00 | 42 | 08/23/2024 | 08/27/2024 | 04/08/2025 | 10/18/2024 | 10/18/2024 | 10/18/2024 | 10/18/2024 | |||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-224968 | Closed | Advance Pay & Close | 01/30/2024 | 01/25/2024 | 02/11/2024 | $693.08 | $1,782.21 | 02/05/2024 | 44 | 12/27/2023 | 12/28/2023 | 07/24/2024 | 01/30/2024 | 01/30/2024 | 01/30/2024 | 01/30/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-206959 | Closed | Return to Work | 10/31/2023 | 10/14/2023 | 12/08/2023 | $732.26 | $7,636.43 | 12/26/2023 | 63 | 09/25/2023 | 09/26/2023 | 04/12/2024 | 10/31/2023 | 10/31/2023 | 10/31/2023 | 10/31/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-108777 | Closed | Advance Pay & Close | 04/14/2022 | 04/23/2022 | 05/26/2022 | $500.00 | $2,428.57 | 04/28/2022 | 31 | 03/25/2022 | 04/01/2022 | 10/21/2022 | 04/14/2022 | 04/14/2022 | 04/14/2022 | 04/14/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-288407 | Closed | Incomplete claim | 10/08/2024 | 10/16/2024 | $750.00 | $0.00 | 42 | 10/02/2024 | 10/02/2024 | 04/15/2025 | 10/08/2024 | 10/08/2024 | 12/20/2024 | |||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-219968 | Closed | Advance Pay & Close | 12/05/2023 | 12/02/2023 | 12/18/2023 | $745.92 | $1,811.52 | 01/19/2024 | 43 | 11/03/2023 | 11/06/2023 | 05/31/2024 | 12/05/2023 | 12/05/2023 | 12/05/2023 | 12/05/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-128497 | Closed | Return to Work | 12/08/2022 | 12/21/2022 | 03/05/2023 | $500.00 | $5,357.14 | 04/13/2023 | 45 | 12/06/2022 | 12/07/2022 | 06/20/2023 | 12/08/2022 | 12/08/2022 | 12/08/2022 | 12/08/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-119387 | Denied | Elimination Period Not Satisfied | 08/22/2022 | 09/22/2022 | $470.02 | $0.00 | 66 | 07/18/2022 | 07/19/2022 | 03/22/2023 | 08/23/2022 | 08/22/2022 | 08/23/2022 | 08/23/2022 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-93645 | Closed | Return to Work | 10/20/2021 | 10/01/2021 | 02/19/2022 | $500.00 | $10,142.86 | 03/18/2022 | 56 | 09/16/2021 | 09/17/2021 | 03/31/2022 | 10/20/2021 | 10/20/2021 | 10/22/2021 | 10/22/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-103541 | Closed | Return to Work | 02/10/2022 | 01/25/2022 | 01/30/2022 | $482.17 | $413.29 | 03/21/2022 | 37 | 01/11/2022 | 01/11/2022 | 07/25/2022 | 02/10/2022 | 02/10/2022 | 02/10/2022 | 02/10/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-198060 | Denied | Pre-existing Condition | 07/26/2023 | 07/31/2023 | $445.20 | $0.00 | 48 | 07/14/2023 | 07/17/2023 | 01/28/2024 | 07/26/2023 | 08/04/2023 | 08/18/2023 | 08/18/2023 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-109065 | Closed | Advance Pay & Close | 04/19/2022 | 04/04/2022 | 05/15/2022 | $481.76 | $3,578.79 | 04/22/2022 | 31 | 03/18/2022 | 03/21/2022 | 10/02/2022 | 04/19/2022 | 04/19/2022 | 04/19/2022 | 04/19/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-197193 | Closed | Return to Work | 07/17/2023 | 06/27/2023 | 07/09/2023 | $500.00 | $928.57 | 07/25/2023 | 50 | 06/12/2023 | 06/13/2023 | 12/25/2023 | 07/17/2023 | 07/21/2023 | 07/21/2023 | 07/21/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-89473 | Closed | Advance Pay & Close | 09/03/2021 | 08/24/2021 | 09/29/2021 | $481.76 | $1,458.76 | 10/14/2021 | 48 | 08/09/2021 | 08/10/2021 | 02/21/2022 | 09/16/2021 | 09/03/2021 | 09/03/2021 | 09/16/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-165837 | Closed | Return to Work | 03/07/2023 | 03/09/2023 | 03/12/2023 | $500.00 | $285.71 | 03/24/2023 | 63 | 02/20/2023 | 02/23/2023 | 09/06/2023 | 03/07/2023 | 03/07/2023 | 03/07/2023 | 03/07/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-118127 | Denied | Pre-existing Condition | 08/08/2022 | 08/13/2022 | $461.16 | $0.00 | 52 | 07/28/2022 | 07/30/2022 | 02/10/2023 | 08/08/2022 | 08/08/2022 | 08/08/2022 | 08/08/2022 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 2 | AAFT ELECTING $750 | GDC-263012 | Denied | Failure to Provide Required Information | 04/22/2024 | 05/01/2024 | $750.00 | $0.00 | 26 | 04/12/2024 | 04/17/2024 | 10/29/2024 | 04/22/2024 | 04/22/2024 | 04/22/2024 | 04/22/2024 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-94500 | Closed | Return to Work | 10/28/2021 | 09/19/2021 | 01/10/2022 | $500.00 | $8,142.86 | 01/11/2022 | 61 | 09/02/2021 | 09/05/2021 | 03/19/2022 | 11/11/2021 | 10/28/2021 | 11/11/2021 | 11/11/2021 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 2 | AAFT ELECTING $750 | GDC-264796 | Closed | Return to Work | 05/10/2024 | 05/13/2024 | 08/25/2024 | $711.76 | $10,676.40 | 08/26/2024 | 65 | 04/26/2024 | 04/29/2024 | 11/10/2024 | 05/10/2024 | 05/10/2024 | 05/28/2024 | 05/28/2024 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-219972 | Closed | Return to Work | 12/05/2023 | 12/11/2023 | 01/14/2024 | $750.00 | $3,237.52 | 01/16/2024 | 50 | 11/22/2023 | 11/27/2023 | 06/09/2024 | 12/05/2023 | 12/05/2023 | 12/05/2023 | 12/05/2023 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-181902 | Denied | Pre-existing Condition | 05/14/2023 | 05/30/2023 | $500.00 | $0.00 | 39 | 05/12/2023 | 05/16/2023 | 11/27/2023 | 05/14/2023 | 08/04/2023 | 05/15/2023 | 07/06/2023 | ||||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-114271 | Closed | Return to Work | 06/23/2022 | 06/07/2022 | 07/05/2022 | $463.40 | $1,986.00 | 09/09/2022 | 56 | 04/12/2022 | 04/13/2022 | 12/05/2022 | 06/23/2022 | 06/23/2022 | 06/23/2022 | 06/23/2022 | ||
| 1 | CITY OF WACO | STD | STD | Voluntary Short Term Disability | 1 | All Full-time EEs | GDC-95336 | Denied | Failure to Provide Required Information | 11/08/2021 | 11/09/2021 | 01/28/2022 | $485.38 | $5,616.54 | 01/28/2022 | 50 | 10/26/2021 | 10/26/2021 | 05/09/2022 | 11/09/2021 | 11/08/2021 | 11/11/2021 | 11/11/2021 |
Insurance products issued by Dearborn Life Insurance Company, 701 E. 22nd St. Suite 300, Lombard, IL 60148. Blue Cross and Blue Shield of Texas is the trade name of Dearborn Life Insurance Company, an independent licensee of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.
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