Maximum Coverage Period

You decide the length of coverage of your BC Life & Health Short-Term PPO Plan, from a minimum of 30 to a maximum of 185 days. This policy is non-renewable and designed to meet your health plan needs while you are between other coverage. After your Short Term PPO Plan expires, you may complete a new application and reapply for a new plan. However, after you have had two elections of a BC Life & Health Short-Term Plan with less than a six month lapse between, you must wait six months before you reapply for short term coverage.

The Immediate Coverage You Need

• Between Jobs
• After Graduation
• While waiting for permanent coverage

The Power to Choose Coverage

• from 30 to 185 days
• Any day of the month to begin or end coverage
• Deductible you prefer from $250 to $2000

Eligibility and Enrollment

Pricing is based on a per member per day rate. Remit your check for the entire premium with your application. For faster service, you may opt to pay by credit card. (Visa, MasterCard or Discover) and submit via fax. Enrollment is easy and applied directly online.

In addition to satisfying Blue Cross of California's streamlined underwriting requirements to qualify for coverage, you must be:

• a permanent legal resident of California
• A resident of the United States for at least three months
• Age 15 days to 64 years old
• The applicant's spouse, age 64 or younger
• The applicant's child(ren), or the child(ren) of the applicant's enrolling spouse, under 19 years of age
• The applicant's unmarried dependent child(ren) between the ages of 19 and 22 ("dependent" as defined by the Internal Revenue Service)

Effective Date of Coverage

If you are approved, coverage begins at 12:01 a.m. on the date following the postmark date on the envelope or the day the application is received.