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APPLICATION EFFECTIVE DATE MO. DAY YEAR GROUP NAME GROUP NUMBER Roanoke County Schools 01251 (effective date) Beg inning date (hire date) l TO: Anthem Blue Cross and Blue Shield is the trade name
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Anthem Health & Vision is a form that must be filed by employers who provide health and vision insurance to their employees.
Employers who provide health and vision insurance to their employees are required to file Anthem Health & Vision.
Anthem Health & Vision can be filled out online through the designated portal provided by the government.
The purpose of Anthem Health & Vision is to report information about the health and vision insurance coverage provided to employees.
Employers must report information about the health and vision insurance coverage they provide to employees, including the type of coverage and the number of employees covered.
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