Representative or Designee Registration

Representation

By accessing or registering with the member account system through this Website, you are representing that you are the member or you are legally authorized to act on behalf of the member, and you agree not to impersonate or falsely claim to represent any other person. Any individual who provides false information, attempts to pose as or impersonate someone else, or otherwise defrauds Univera HealthcareExcellus BlueCross BlueShield may be subject to civil and criminal penalties and legal action.

Collection and Retention of Personally Identifiable Information

When you open an online account with us, we collect certain information from you, such as your first name, last name, date of birth, policy number, and email address. Read our Privacy Policy to learn about all the information that we may collect and how we use our information. We maintain this information for as long as needed to provide you with our Services and comply with our legal obligations. Your online account and personal health information will be deleted from our Web database in accordance with our routine record keeping policies and procedures. If you do not wish to provide us with the information we request on this sign up form, you will not be able to obtain an online account to use the member self-service and personalized health and wellness features of our Website (such as managing your policy, changing your doctor, and more). If you have questions about this Website or our Privacy Policy and Terms of Use, please contact us at:

Univera HealthcareExcellus BlueCross BlueShield Web Security Help Desk
Re: Website Privacy Policy
333 Butternut Drive
Syracuse, NY 13214-1803

Call us at: 800-278-1247

Or email our Web Security Help Desk Web Security Help Desk

Acceptance of our Web Site Terms of Use

By accessing or registering with the member account system through this Web site, you are representing that you accept our Web Site Terms of Use.