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What is special enrollment?

Federal law allows people to enroll in a new health plan only during an open enrollment period. Outside of that period, you can enroll only if you have a significant life change.

Qualifying life changes include a change in family or job status that would otherwise leave you without health insurance.

Get started on your application

$1250.50

2 Adults, 2 Dependents

Monthly Premium

Nov 1, 2020

Coverage Start Date

Subscriber Information

*Required Fields

We only offer coverage to residents of North Dakota. Call 800-280-2583 if you feel you qualify.

How Can We Contact You?

*Required Fields

We need documentation to support your qualifying life event

Max size for upload is 2MB. Acceptable file formats include: .pdf and image files.

    Mail Documentation

    Your application will not be completed until we receive your documentation. If you do not have it at this time, you may mail it to our Fargo Headquarters.

    Include the following:

    • Your full name
    • Reference: Member application

    Blue Cross Blue Shield of North Dakota
    Attn: Consumer Sales
    4510 13th Ave. S.
    Fargo, ND 58121


    Now, we need more details about your spouse and dependents

    BlueCare 70 2000

    $1250.50

    2 Adults, 2 Dependents

    Monthly Premium

    Nov 1, 2020

    Coverage Start Date

    Subscriber, Spouse and dependents

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    By checking this box, I understand I am creating an electronic signature that carries the same legal obligations as a written signature and am agreeing to all of the terms and conditions set forth within this application, including the Notification and Authorization.