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Healthcare Non-Subscriber Client Listing as of 2/27/2014 Mayor Group Name Line 1 GLOBAL CARE INC WALMART/GLOBAL CARE POS-NON-SUBSCRIBER 6875 SHILOH ROAD 1 Clients Line 2 City St Zip Phone NBR ALPHARETTA

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How to fill out texas non-subscriber - healthsmart

How to fill out Texas non-subscriber - Healthsmart:

01

Start by obtaining the Texas Non-Subscriber - Healthsmart form. This form is usually available from the Healthsmart website or through your employer if they are a non-subscriber.

02

Begin by entering your personal information in the designated fields. This typically includes your full name, address, contact information, and social security number.

03

Next, provide details about your employer. Fill in the information regarding your employer's name, address, and contact information.

04

Proceed to the section where you can select the coverage options that best suit your needs. This includes choosing the type of plan you want and specifying any additional coverage or benefits you require.

05

Make sure to carefully review the terms and conditions of the Texas non-subscriber program. Understand the limitations and exclusions of the coverage, as well as any obligations or responsibilities you have as a non-subscriber.

06

Sign and date the form once you have completed all the necessary sections. By signing, you confirm that the information provided is accurate to the best of your knowledge and that you understand the terms and conditions.

Who needs Texas non-subscriber - Healthsmart?

01

Employers who choose to be non-subscribers in Texas workers' compensation insurance may require their employees to fill out the Texas Non-Subscriber - Healthsmart form.

02

Individuals who work for non-subscriber employers in Texas and are eligible for health coverage under their employer's non-subscriber program will need to complete the Texas Non-Subscriber - Healthsmart form.

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Insurance companies or health service providers may also require individuals to fill out this form if they are seeking coverage or benefits under the Texas non-subscriber program.

It is important to note that specific circumstances may vary, and it is always recommended to consult with your employer or insurance provider for detailed instructions on filling out the Texas Non-Subscriber - Healthsmart form.

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