Registration
Contact Information
Instructions
Required fields are marked with an asterisk "*".
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Email
Prefix
Doctor
Dr.
Justice
Miss
Mr.
Mrs.
Ms.
Professor
Reverend
Rabbi
The Honorable
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First Name
*
Last Name
*
Title
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Phone
Enter your unique alpha-numeric code provided upon your employment at Blue Cross Blue Shield of Minnesota. The code begins with the characters A0.
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Associate Number
4 characters left
*
Hire Date
Go to Quick Links on the BlueNet page under Employee Directory to find your department name, cost center name, route#, supervisor name and supervisor route#.
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Department Name
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Cost Center Number
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Route #
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Supervisor
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Supervisor Route #
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Manager
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By checking this box, I confirm this information is accurate.