IN THE STATEMENT, COLUMN 1, LINES 1-3 SHOULD BE DELETED, AND "HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (ILLINOIS CORPORATION), DBA BLUE CROSS/BLUE SHIELD OF ILLINOIS" SHOULD BE INSERTED. IN THE STATEMENT, COLUMN 1, LINE 5, "606015655" SHOULD BE DELETED, AND "60601-5655" SHOULD BE INSERTED.
"HEALTH PLAN"
IT ITS YOUR HEALTH PLAN. IT SHOULD BE YOUR CHOICE.