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Combined Evidence of Coverage and Disclosure Form City of Los Angeles Effective Date: January 1, 2014, An independent member of the Blue Shield Association Access+ HMO NOTICE This Evidence of Coverage
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Start by entering the current date on the form, which will likely be the day you are filling it out.
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Find the section on the form that requests the effective date. This is usually found near the beginning or in a specific field designated for the effective date.
03
Write "January 1" as the effective date on the form. Make sure to write it clearly and accurately to avoid any confusion.
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If there are any additional instructions or requirements related to the effective date, be sure to follow them accordingly.
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Double-check your form for accuracy and completeness before submitting it.

Who needs effective date January 1:

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Businesses or organizations that operate on a fiscal year basis may need to specify January 1 as the effective date for various purposes. This could include financial reporting, budgeting, or contract renewals.
02
Some legal documents, such as contracts or agreements, may require an effective date of January 1 for specific reasons, such as aligning with a calendar year or marking the start of a new period.
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Individuals who are filling out forms related to job applications, insurance policies, or any other type of document that requires an effective date may need to use January 1 if it is relevant to their specific situation.
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