Health Care & Benefits Division

Life & Accident Insurance

Blue Cross Blue Shield of Montana (BCBSMT) is the State Plan’s insurance provider for its fully insured Group Term Life, Accidental Death and Dismemberment (AD&D), and Long-Term Disability insurance policies. 

 

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Evidence of Insurability  (EOI):

  • Also known as "evidence of good health", an EOI is the process that determines if a person is healthy enough to be considered eligible for the amount of insurance coverage they are requesting. 
  • Depending upon when you enroll for coverage, or the amount of coverage you are requesting, you may be required to complete EOI prior to coverage becoming effective. 
  • EOI Form - Insurance Group #F026969
  • Submit EOI materials to:
Blue Cross Blue Shield of Montana
Attn: Medical Underwriting Department
PO Box 7072
Downers Grove, IL 60515
Fax: (855) 691-7157

 

Note for Retirees

  • At retirement, Basic Life will be continued until age 65 or Medicare eligible.
  • If you are retiring and are eligible to port or convert some of your coverage, your rates will change. Click for information about porting or converting coverage

 

Life insurance and LTD certificates can be found on the Publications page at benefits.mt.gov/Resources/Publications.

Life & Accident Resources

 

Dearborn Life Insurance Company doing business as: 
Blue Cross Blue Shield of Montana

  BCBSMT Logo

Phone: (866) 739-4090
Email: ancillaryquestionsMT@bcbsmt.com
Website: ancillary.bcbsmt.com
For claims related questions, contact HCBD at (800) 287-8266 or benefitsquestions@mt.gov

 

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