Chamber Blue Survey Interest Form

CHAMBER BLUE OF KANSAS INTEREST SURVEY SIGN-UP

Please fill out the form below to register to receive the Chamber Blue of Kansas Interest Survey, coming out in August 2022.

Once the Interest Survey has been completed, Blue Cross Blue Shield of Kansas will collect your employees’ names, dates of birth, genders, and zip codes. Your business does NOT need to be a current member of the Fort Scott Area Chamber of Commerce to complete the survey and receive rates.

All participants in the survey will be given plan pricing. Pricing will be the same statewide. There is no obligation to accept the proposed rates. You must be a current member or join the Fort Scott Area Chamber of Commerce to accept the proposed rates.

The first year is the best year to start this plan because Blue Cross Blue Shield of Kansas will not require health histories in Year One and you are guaranteed admittance. After the initial interest survey and rate structure is created, businesses will then be rated on their health histories and may not be allowed into the plan.

Questions:
Contact the Fort Scott Area Chamber of Commerce at (620) 223-3566 or lindsay.madison@fortscott.com