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His/Her Physician is: Name: Address: Telephone (include area code): Medical Insurance Company * Name: Street: City, State, Zip Code: Policy/ID Number: Telephone Confirmation Number: Dental Insurance
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What is this insurance isnotrequired however?
This insurance is not required for any individuals or businesses.
Who is required to file this insurance isnotrequired however?
No one is required to file this insurance as it is not mandatory.
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You do not need to fill out any forms for this insurance.
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The purpose of this insurance is not to provide coverage, but to simply inform individuals of its optional nature.
What information must be reported on this insurance isnotrequired however?
No information needs to be reported for this insurance.
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