BCBS BlueOptions Health Insurance

Barrett, Liner & Company is taking applications for health insurance.

Download the FMA-CCMS form and fill out the following and return to Barrett, Liner & Company.

  1. Underwriting questionnaire form (disregard UTC-6 information at this time)
  2. Current plan of benefits (please ensure RX coverage is indicated)
  3. Current billing with: Age by name of employee & Circle name of physician / owner

Return to:

Barret, Liner & Company

Send by mail: PO BOX 270 Ocala, FL 34478

Send by fax: (352) 622-1050

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