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NEW JERSEY STATE HEALTH BENEFITS PROGRAM COBRA APPLICATION INTERMITTENT STATE EMPLOYEES GROUP 1. APPLICANT INFORMATION-This section must be filled out completely. Please print or type. Social Security
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New Jersey State Health is a program that focuses on promoting and protecting the health and well-being of the residents of New Jersey.
All employers in New Jersey are required to file for the New Jersey State Health program.
To fill out the New Jersey State Health program, employers need to provide the necessary information, including employee details, health insurance coverage details, and any other required information as specified by the program.
The purpose of the New Jersey State Health program is to ensure that all residents of New Jersey have access to affordable and quality health insurance coverage.
Employers need to report employee details, including their names, Social Security numbers, health insurance coverage details, and any other relevant information that may be required by the program.
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