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Insurance? Yes NO Ins. Company: Have you ever been a Client At CCS? Member ID# Yes No Vitals Phone # on back of INS card: BP / Pulse CLIENTS NAME: Date: Temp Resp Date on Waiting List: Age: DOB: Tennessee
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Yes No Ins is a form used to report whether certain individuals have insurance coverage or not.
Employers or entities that provide minimum essential coverage to individuals must file Yes No Ins.
Yes No Ins can be filled out online or through paper forms provided by the IRS.
The purpose of Yes No Ins is to report information about individuals' insurance coverage to the IRS.
Information such as individual names, SSN, insurance coverage status, and coverage period must be reported on Yes No Ins.
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