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“ 'BY. / / Effective Date: ; Enrollment ... o Termination of Employment o Add o Military Leave of Absence o Retirement o Death o Open Enrollment o COBRA Continuation o Beneficiary Change o Other:
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O fax i is a form used to report certain financial information to the tax authorities.
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Individuals and businesses meeting certain criteria are required to file O fax i.
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The purpose of o fax i is to report financial information for tax purposes.
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