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ILLINOIS HIGH SCHOOL RODEO ASSOCIATION MAILING ENTRY FORM DEADLINE: Postmark by March 7, 2016, District 2 Rodeo Railings Arena, Hope dale, Illinois March 19 & 20, 2016 Name Age: Grade Address Phone
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Who needs ihsra dist 2 mar:

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Individuals who reside within District 2 and are required to submit a medical assistance request (mar) form to the Indian Health Service (IHS).
02
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03
Any individuals who meet the eligibility criteria set forth by the IHS for receiving medical assistance and reside in District 2.
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The IHSRA Dist 2 MAR refers to the Individual Health Savings Account Form 2 for Market Access Retrieval.
All individuals who have a Health Savings Account and are part of Market Access Retrieval are required to file the IHSRA Dist 2 MAR.
To fill out the IHSRA Dist 2 MAR, individuals need to provide information on their health savings account transactions and market access retrieval activities.
The purpose of the IHSRA Dist 2 MAR is to track and monitor health savings account usage and market access retrieval for individuals.
Information such as health savings account contributions, withdrawals, market access retrieval activities, and any associated fees must be reported on the IHSRA Dist 2 MAR.
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