Blue Cross Blue Shield of Michigan - Potential Supplier Survey
If you are already a Blue Cross Blue Shield supplier, you do not need to complete this survey.
. Contact Information
Contact First Name
Contact Last Name
State (abbrv. ex. MI)
. Headquarters (HQ) Information
Headquarters (HQ) Information
Full Legal Company Name
HQ Address 2
HQ State (abbrv. ex. MI)
State of Incorporation
. Additional Information
Tax Identification Number
. Michigan Presence: Do you have a facility in the state of Michigan?
Michigan Presence: Do you have a facility in the state of Michigan?
. What is the size of your organization?
What is the size of your organization?
Minute/Micro: Less than 6 employees
Small: Less than 250 employees
Medium: Less than 500 employees
Large:Less than 1000 employees
Enterprise: More than 1000 employees
. Type of Organization
Type of Organization
Limited Liability Company (LLC)
. Holding Status
. Are you affiliated with any Unions?
Are you affiliated with any Unions?