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2014 PPO PLAN MEMBER CERTIFICATE Small Employer Group Administrative Offices P.O. Box 44971 Madison, Wisconsin 53744-4971 Marketing: (608) 251-3356 Member Services: (608) 828-4853 Prior Authorization:
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What is ppo small group certificate?
A PPO small group certificate is a document that certifies a small group's eligibility for participation in a preferred provider organization (PPO) health insurance plan.
Who is required to file ppo small group certificate?
The employer or group administrator is typically responsible for filing the PPO small group certificate on behalf of the small group.
How to fill out ppo small group certificate?
To fill out a PPO small group certificate, you will need to provide the necessary information about the small group, such as the employer's name and address, the group's eligibility criteria, and the group's enrollment details.
What is the purpose of ppo small group certificate?
The purpose of a PPO small group certificate is to verify the eligibility of a small group for enrollment in a PPO health insurance plan. It helps ensure that only eligible small groups are able to participate in the plan.
What information must be reported on ppo small group certificate?
The specific information that must be reported on a PPO small group certificate can vary, but it typically includes details about the small group's eligibility criteria, enrollment information, and the employer's contact information.
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