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SEND THIS FORM TO: Out-Of-Scope Flexible Spending Account 800-2002 Victoria Avenue Regina, SK S4P 0R7 Email: flex plan 3sHealth.ca Fax: 1-306-347-5909 Toll Free: 1-855-731-2525 Out-Of-Scope Flexible
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3shealthca form is a form used to report health care information for individuals and their dependents.
Employers and insurance providers are required to file 3shealthca form.
To fill out 3shealthca form, you need to provide information about the individuals covered by the health care plan, the coverage periods, and any applicable exemptions.
The purpose of 3shealthca form is to gather information about individual health care coverage to ensure compliance with the Affordable Care Act.
The 3shealthca form requires reporting of individual and dependent information, coverage periods, and any exemptions from the coverage requirement.
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