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Get the free Visio-PA Broker 2-50 - Form #7105A - Rev. 07-2011.vsd

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Independence Blue Cross 1901 Market Street Philadelphia, PA 19103 Application for New Small Employer Health Benefits 2-50 This form and the Blue Solution suite of plan designs can only be used when
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Visio-pa broker 2-50 is a form that brokers in Pennsylvania with 2-50 employees are required to file.
Brokers in Pennsylvania with 2-50 employees are required to file visio-pa broker 2-50.
To fill out visio-pa broker 2-50, brokers need to provide specific information about their employees, such as demographics, enrolment information, and insurance coverage details.
The purpose of visio-pa broker 2-50 is to gather data on the health insurance coverage provided by brokers in Pennsylvania with 2-50 employees.
Brokers must report information such as the number of employees, enrolment counts, coverage types, and other relevant details about the health insurance plans offered to their employees.
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