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1 forms found in the DOM

Name: stateSearch —

<form class="c-form js-form" name="stateSearch" data-initialized="true">
  <div class="c-form__row">
    <div class="m-field" style="max-width:500px">
      <label class="u-margin-bottom-small" for="state-search">Select your state from the dropdown:</label>
      <div class="choices" data-type="select-one" tabindex="0" role="combobox" aria-autocomplete="list" aria-haspopup="true" aria-expanded="false">
        <div class="choices__inner"><select id="state-search" class="m-field__input js-state-search choices__input" value="Enter your state here" placeholder="Select your state" hidden="" tabindex="-1" data-choice="active">
            <option value="" data-custom-properties="[object Object]">Enter your state name</option>
          </select>
          <div class="choices__list choices__list--single">
            <div class="choices__item choices__item--selectable choices__placeholder" data-item="" data-id="1" data-value="" aria-selected="true"> Enter your state name </div>
          </div>
        </div>
        <div class="choices__list choices__list--dropdown" aria-expanded="false"><input type="search" name="search_terms" class="choices__input choices__input--cloned" autocomplete="off" autocapitalize="off" spellcheck="false" role="textbox"
            aria-autocomplete="list" aria-label="Enter your state name" placeholder="">
          <div class="choices__list" role="listbox">
            <div id="choices--state-search-item-choice-1" class="choices__item choices__item--choice is-selected choices__placeholder choices__item--disabled" role="option" data-choice="" data-id="1" data-value="" data-select-text="Press to select"
              data-choice-disabled="" aria-disabled="true">Enter your state name</div>
            <div id="choices--state-search-item-choice-2" class="choices__item choices__item--choice choices__item--selectable is-highlighted" role="option" data-choice="" data-id="2" data-value="/contact-us/alabama"
              data-select-text="Press to select" data-choice-selectable="" aria-selected="true">Alabama</div>
            <div id="choices--state-search-item-choice-3" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="3" data-value="/contact-us/alaska" data-select-text="Press to select"
              data-choice-selectable="">Alaska</div>
            <div id="choices--state-search-item-choice-4" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="4" data-value="/contact-us/arizona" data-select-text="Press to select"
              data-choice-selectable="">Arizona</div>
            <div id="choices--state-search-item-choice-5" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="5" data-value="/contact-us/arkansas" data-select-text="Press to select"
              data-choice-selectable="">Arkansas</div>
            <div id="choices--state-search-item-choice-6" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="6" data-value="/contact-us/california" data-select-text="Press to select"
              data-choice-selectable="">California</div>
            <div id="choices--state-search-item-choice-7" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="7" data-value="/contact-us/colorado" data-select-text="Press to select"
              data-choice-selectable="">Colorado</div>
            <div id="choices--state-search-item-choice-8" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="8" data-value="/contact-us/connecticut" data-select-text="Press to select"
              data-choice-selectable="">Connecticut</div>
            <div id="choices--state-search-item-choice-9" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="9" data-value="/contact-us/delaware" data-select-text="Press to select"
              data-choice-selectable="">Delaware</div>
            <div id="choices--state-search-item-choice-10" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="10" data-value="/contact-us/florida" data-select-text="Press to select"
              data-choice-selectable="">Florida</div>
            <div id="choices--state-search-item-choice-11" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="11" data-value="/contact-us/georgia" data-select-text="Press to select"
              data-choice-selectable="">Georgia</div>
            <div id="choices--state-search-item-choice-12" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="12" data-value="/contact-us/hawaii" data-select-text="Press to select"
              data-choice-selectable="">Hawaii</div>
            <div id="choices--state-search-item-choice-13" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="13" data-value="/contact-us/idaho" data-select-text="Press to select"
              data-choice-selectable="">Idaho</div>
            <div id="choices--state-search-item-choice-14" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="14" data-value="/contact-us/illinois" data-select-text="Press to select"
              data-choice-selectable="">Illinois</div>
            <div id="choices--state-search-item-choice-15" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="15" data-value="/contact-us/indiana" data-select-text="Press to select"
              data-choice-selectable="">Indiana</div>
            <div id="choices--state-search-item-choice-16" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="16" data-value="/contact-us/iowa" data-select-text="Press to select"
              data-choice-selectable="">Iowa</div>
            <div id="choices--state-search-item-choice-17" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="17" data-value="/contact-us/kansas" data-select-text="Press to select"
              data-choice-selectable="">Kansas</div>
            <div id="choices--state-search-item-choice-18" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="18" data-value="/contact-us/kentucky" data-select-text="Press to select"
              data-choice-selectable="">Kentucky</div>
            <div id="choices--state-search-item-choice-19" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="19" data-value="/contact-us/louisiana" data-select-text="Press to select"
              data-choice-selectable="">Louisiana</div>
            <div id="choices--state-search-item-choice-20" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="20" data-value="/contact-us/maine" data-select-text="Press to select"
              data-choice-selectable="">Maine</div>
            <div id="choices--state-search-item-choice-21" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="21" data-value="/contact-us/maryland" data-select-text="Press to select"
              data-choice-selectable="">Maryland</div>
            <div id="choices--state-search-item-choice-22" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="22" data-value="/contact-us/massachusetts" data-select-text="Press to select"
              data-choice-selectable="">Massachusetts</div>
            <div id="choices--state-search-item-choice-23" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="23" data-value="/contact-us/michigan" data-select-text="Press to select"
              data-choice-selectable="">Michigan</div>
            <div id="choices--state-search-item-choice-24" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="24" data-value="/contact-us/minnesota" data-select-text="Press to select"
              data-choice-selectable="">Minnesota</div>
            <div id="choices--state-search-item-choice-25" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="25" data-value="/contact-us/mississippi" data-select-text="Press to select"
              data-choice-selectable="">Mississippi</div>
            <div id="choices--state-search-item-choice-26" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="26" data-value="/contact-us/missouri" data-select-text="Press to select"
              data-choice-selectable="">Missouri</div>
            <div id="choices--state-search-item-choice-27" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="27" data-value="/contact-us/montana" data-select-text="Press to select"
              data-choice-selectable="">Montana</div>
            <div id="choices--state-search-item-choice-28" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="28" data-value="/contact-us/nebraska" data-select-text="Press to select"
              data-choice-selectable="">Nebraska</div>
            <div id="choices--state-search-item-choice-29" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="29" data-value="/contact-us/nevada" data-select-text="Press to select"
              data-choice-selectable="">Nevada</div>
            <div id="choices--state-search-item-choice-30" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="30" data-value="/contact-us/new-hampshire" data-select-text="Press to select"
              data-choice-selectable="">New Hampshire</div>
            <div id="choices--state-search-item-choice-31" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="31" data-value="/contact-us/new-jersey" data-select-text="Press to select"
              data-choice-selectable="">New Jersey</div>
            <div id="choices--state-search-item-choice-32" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="32" data-value="/contact-us/new-mexico" data-select-text="Press to select"
              data-choice-selectable="">New Mexico</div>
            <div id="choices--state-search-item-choice-33" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="33" data-value="/contact-us/new-york" data-select-text="Press to select"
              data-choice-selectable="">New York</div>
            <div id="choices--state-search-item-choice-34" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="34" data-value="/contact-us/north-carolina" data-select-text="Press to select"
              data-choice-selectable="">North Carolina</div>
            <div id="choices--state-search-item-choice-35" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="35" data-value="/contact-us/north-dakota" data-select-text="Press to select"
              data-choice-selectable="">North Dakota</div>
            <div id="choices--state-search-item-choice-36" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="36" data-value="/contact-us/ohio" data-select-text="Press to select"
              data-choice-selectable="">Ohio</div>
            <div id="choices--state-search-item-choice-37" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="37" data-value="/contact-us/oklahoma" data-select-text="Press to select"
              data-choice-selectable="">Oklahoma</div>
            <div id="choices--state-search-item-choice-38" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="38" data-value="/contact-us/oregon" data-select-text="Press to select"
              data-choice-selectable="">Oregon</div>
            <div id="choices--state-search-item-choice-39" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="39" data-value="/contact-us/pennsylvania" data-select-text="Press to select"
              data-choice-selectable="">Pennsylvania</div>
            <div id="choices--state-search-item-choice-40" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="40" data-value="/contact-us/puerto-rico" data-select-text="Press to select"
              data-choice-selectable="">Puerto Rico</div>
            <div id="choices--state-search-item-choice-41" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="41" data-value="/contact-us/rhode-island" data-select-text="Press to select"
              data-choice-selectable="">Rhode Island</div>
            <div id="choices--state-search-item-choice-42" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="42" data-value="/contact-us/south-carolina" data-select-text="Press to select"
              data-choice-selectable="">South Carolina</div>
            <div id="choices--state-search-item-choice-43" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="43" data-value="/contact-us/south-dakota" data-select-text="Press to select"
              data-choice-selectable="">South Dakota</div>
            <div id="choices--state-search-item-choice-44" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="44" data-value="/contact-us/tennessee" data-select-text="Press to select"
              data-choice-selectable="">Tennessee</div>
            <div id="choices--state-search-item-choice-45" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="45" data-value="/contact-us/texas" data-select-text="Press to select"
              data-choice-selectable="">Texas</div>
            <div id="choices--state-search-item-choice-46" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="46" data-value="/contact-us/utah" data-select-text="Press to select"
              data-choice-selectable="">Utah</div>
            <div id="choices--state-search-item-choice-47" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="47" data-value="/contact-us/vermont" data-select-text="Press to select"
              data-choice-selectable="">Vermont</div>
            <div id="choices--state-search-item-choice-48" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="48" data-value="/contact-us/us-virgin-islands" data-select-text="Press to select"
              data-choice-selectable="">Virgin Islands</div>
            <div id="choices--state-search-item-choice-49" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="49" data-value="/contact-us/virginia" data-select-text="Press to select"
              data-choice-selectable="">Virginia</div>
            <div id="choices--state-search-item-choice-50" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="50" data-value="/contact-us/washington" data-select-text="Press to select"
              data-choice-selectable="">Washington</div>
            <div id="choices--state-search-item-choice-51" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="51" data-value="/contact-us/district-of-columbia"
              data-select-text="Press to select" data-choice-selectable="">Washington DC</div>
            <div id="choices--state-search-item-choice-52" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="52" data-value="/contact-us/west-virginia" data-select-text="Press to select"
              data-choice-selectable="">West Virginia</div>
            <div id="choices--state-search-item-choice-53" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="53" data-value="/contact-us/wisconsin" data-select-text="Press to select"
              data-choice-selectable="">Wisconsin</div>
            <div id="choices--state-search-item-choice-54" class="choices__item choices__item--choice choices__item--selectable" role="option" data-choice="" data-id="54" data-value="/contact-us/wyoming" data-select-text="Press to select"
              data-choice-selectable="">Wyoming</div>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

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NATIONAL INFORMATION CENTER



1-800-411-BLUE (2583)

Weekdays from 8 a.m. to 8 p.m. Eastern Time (excluding holidays)

Call the National Information Center for information about your benefits and
services, FEP incentive programs, our supplemental dental and vision plans, to
speak with the MyBlue Contact Center or for assistance with our online tools.






OVERSEAS INFORMATION


OVERSEAS ASSISTANCE CENTER


Available 24 hours a day, 365 days a year.

For calls from the U.S., Puerto Rico and the U.S. Virgin Islands, call:

1-800-699-4337

For all other calls from outside the U.S., call:

1-804-673-1678

Email the Overseas Assistance Center at:

fepoverseas@gmmi.com

To submit overseas medical claims by mail, send to:

Federal Employee Program Overseas Claims
P.O. Box 260070
Pembroke Pines, FL 33026




OVERSEAS CUSTOMER SERVICE


Assists with claim filing, enrollment questions, U.S. dollar check
reimbursements and more.

Available 5 a.m. to 6 p.m. Eastern time.

For calls from the U.S., Puerto Rico and the U.S. Virgin Islands, call:

1-888-999-9862

For all other calls from outside the U.S., call:

Toll-free using the appropriate AT&T Country Code found here.




OVERSEAS PHARMACY


Customer Care representatives are available 24 hours a day, 7 days a week.

1-800-624-5060

To submit overseas pharmacy claims by mail, send to:

Service Benefit Plan Retail Pharmacy Program
P.O. Box 52057
Phoenix, AZ 85072-2057




PHARMACY INFORMATION


RETAIL


Customer Care Representatives are available 24 hours a day, 7 days a week.

1-800-624-5060

Blue Cross and Blue Shield
Service Benefit Plan
Retail Pharmacy Program
P.O. Box 52057
Phoenix, AZ 85072-2057




SPECIALTY DRUG


Customer Care Representatives are available Monday through Friday from 7 a.m. to
9 p.m. Eastern Time, and Saturday & Sunday from 8 a.m. to 6:30 p.m. Eastern
Time.

1-888-346-3731

CVS Specialty
Service Benefit Plan
Specialty Pharmacy Program
P.O. Box 52080
Phoenix, AZ 85072-2080




MAIL ORDER


Customer Care Representatives are available 24 hours a day, 7 days a week.

1-800-262-7890
1-877-337-3455 for refills

CVS Caremark
P.O. Box 1590
Pittsburgh, PA 15230-1590




FRAUD INFORMATION


FRAUD ASSISTANCE


Report Fraud
1-800-337-8440 The FEP Fraud Hotline

The United States Office of Personnel Management
Office of the Inspector General
Fraud Hotline
1900 E Street NW
Washington, DC 20005

www.bcbs.com/healthcare-fraud



If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY
relay services. For other language assistance or translation services, please
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CONTACT YOUR LOCAL BCBS COMPANY

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and
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