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For official use only ACK Date Form for Supporting, or Objecting To, The DRAFT NORTHERN AREA PLAN. Rep No Category 2016 Please read the attached guidance notes before completing this form in BLACK
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Individuals with qualifying life events or changes in health care status are required to file H C L E.
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The purpose of H C L E is to update healthcare information based on life events and changes in healthcare status.
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Information such as changes in household size, income, health coverage, and other related details must be reported on H C L E.
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