1. Those interested in applying for CoverTN should complete the ONLINE VERIFICATION APPLICATION. (Please refer to the application instructions for additional information.) The online application is only certified to work with Internet Explorer 5.5 or higher browsers. Adobe Acrobat Reader is required to view and print your completed application and your web browser must be set to allow pop-ups. If you prefer, you may call 1-866-CoverTN and request an application be mailed to you.
2. Once approved, you will receive enrollment applications from BlueCross BlueShield of Tennessee(BCBST) for your employees to complete.
3. Please have the following information available to you when completing the online application:

•	Federal Employer Identification Number (FEIN) – This is required for most Businesses and Local County Governments.  The Federal Employer Identification Number is the nine (9) digit number (00-0000000) assigned by the Internal Revenue Service (IRS) to businesses that are required to file tax returns.  If you do not have an FEIN, your Social Security Number (SSN) may be substituted.
•	State Account Number – This is required for Business and Local County Government applicants only.  The State Account Number is the eight (8) digit number (0000-000-0) assigned by the Department of Labor and Workforce Development that is used for the quarterly reports regarding all premium and benefit information (e.g. unemployment insurance) submitted to the Department.  In general, if your business has an FEIN and employs 1 or more persons (other than the owner), then you should have a State Account Number.  There are a few exceptions, which are listed in the help screens of the on-line application.  Please check the exception that applies to your business.  If these exceptions do not apply to your business, you must obtain a State Account Number from the Tennessee Department of Labor and Workforce Development (1-615-741-2486) before you can submit your Verification Application.
•	Date of Birth – Required for those applying as Self-Employed, Employees at Non-Participating Employers and Tennesseans Between Jobs.
•	Social Security Number – Required for those applying as Self-Employed, Employees at Non-Participating Employers and Tennesseans Between Jobs.

4. Completed Verification Applications may be faxed to 1-866-795-1986 or mailed to:
       CoverTN
       State of Tennessee
       312 Rosa L. Parks Avenue
       Suite 2600
       Nashville, TN 37243

5. Upon receipt and approval of your Verification Application, you will receive written notice from the State that you qualify to participate. Your information will be forwarded to BlueCross BlueShield of Tennessee who will then send an enrollment kit with paperwork for you, and your employees if applicable, to complete.  Return the completed paperwork to the address on the forms and soon your coverage will become effective.

If you have trouble in using the application, please contact us. For more information on CoverTN, please call 1-866-CoverTN.