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WWW.ibx.com 1901 MARKET STREET PHILADELPHIA, PA 19103-1480 Plan Sponsor Certification of Grandfathered Status Under the health care reform law (formally called the Patient Protection and Affordable
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The grandfather certification form is used to prove that a person or organization is exempt from certain regulations or requirements based on their prior qualifying status or activities.
Any person or organization that meets the criteria for exemption based on their previous status or activities needs to file the grandfather certification form.
To fill out the grandfather certification form, you will need to provide your personal or organizational information, details of the regulations or requirements you are seeking exemption from, and any supporting documentation or evidence to substantiate your claim.
The purpose of the grandfather certification form is to confirm and document the exemption status of a person or organization based on their prior qualifying activities or status. This form helps ensure compliance with regulations or requirements while providing exemptions where appropriate.
The specific information required on the grandfather certification form may vary depending on the regulations or requirements you are seeking exemption from. However, common information includes personal or organizational details, details of the qualifying activities or status, and any supporting documentation or evidence to support the claim.
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