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Anthem Blue Cross and Blue Shield
is the trade name of: In Colorado: Rocky Mountain Hospital and Medical
Service, Inc. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. Independent
licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a
registered trademark. The Blue Cross and Blue Shield names and symbols are
registered marks of the Blue Cross and Blue Shield Association. Serving
residents and businesses in Indiana, Kentucky, Missouri (excluding 30
counties in the Kansas City area), Ohio, Wisconsin, Colorado, Nevada,
Connecticut, Maine, New Hampshire and Virginia (excluding the city of
Fairfax, the town of Vienna and the area east of State Route 123). Use of
the Anthem Web sites constitutes your agreement with our
Pacificare products are either underwritten, administered or provided by: American Medical Security Life Insurance Company (AMS) (Wisconsin domiciled, CA certificate of authority number 08079); CA Network products: PacifiCare Life and Health Insurance Company (Indiana domiciled, CA certificate of authority number 5813), OR and NV network products: PacifiCare Life Assurance Company (Colorado domiciled, CA certificate of authority number 5814), CA HMO products: PacifiCare of California, (California Domiciled, CA certificate of authority number 933 0216), OR MCO: PacifiCare of Oregon, Inc., or PacifiCare Health Plan Administrators, Inc..