Group Coverage: You must contact your employer to make any changes to your policy.

Off Exchange: You must complete a Change of Status Card.

The form must be dated and signed by the subscriber and mailed to:

Blue Cross and Blue Shield of Louisiana
P. O. Box 98029
Baton Rouge, LA 70898-9029

HMO Louisiana
P.O. Box 98024
Baton Rouge, LA 70898
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​On Exchange: You must contact the Marketplace to make any changes to your policy.