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MODEL INDIVIDUAL NON-CREDITABLE COVERAGE DISCLOSURE NOTICE LANGUAGE FOR USE ON OR AFTER JANUARY 1, 2009, OMB 0938-0990 Important Notice From Insert Name of Entity About Your Prescription Drug Coverage
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Model individual non-creditable coverage refers to health insurance coverage that does not meet the requirements set by the government for being considered creditable coverage.
Health insurance companies and providers that offer individual non-creditable coverage are required to file the model with the appropriate government agency.
To fill out the model individual non-creditable coverage, you need to provide details about the coverage, including the policy type, benefits offered, and any limitations or exclusions.
The purpose of the model individual non-creditable coverage is to ensure regulatory compliance and provide transparency to consumers about the nature of the coverage.
The model individual non-creditable coverage requires reporting of details such as policy type, benefits, limitations, exclusions, and any other relevant information about the non-creditable coverage.
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