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Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service & Indemnity Company. Copyright © 2017 Blue Cross and Blue Shield of Louisiana. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana.
Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex.
Equitable is the brand name of Equitable Holdings, Inc. and its family of companies, including Equitable Financial Life Insurance Company (Equitable Financial) (NY, NY), Equitable Financial Life Insurance Company of America (AZ stock corp., admin. office: Jersey City, NJ), and Equitable Distributors, LLC. References herein to the “Company” or “Equitable” refer Equitable Financial Life Insurance Company of America as the applicable issuing company.
All group life and disability income insurance products referenced as an “Equitable” product shown on this enrollment form are issued exclusively by Equitable Financial Life Insurance Company of America (Equitable America), an Arizona stock corporation with its main administrative office in Jersey City, NJ. This is not a Blue Cross and Blue Shield of Louisiana product. Equitable America is solely responsible for its insurance and claims- paying obligations.
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