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Renewal form Created on PLEASE TURN OVER * (Please complete this form in BLOCK CAPITALS using a black pen. Please send your completed form to: Registration Department, CPC, Park House, 184 Pennington
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How to fill out Appendix B - Health:

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Appendix B - Health is a form that provides information about an individual's health insurance coverage.
Employers who offer health insurance coverage to their employees are required to file Appendix B - Health.
You can fill out Appendix B - Health by providing the required information about the health insurance coverage offered to employees.
The purpose of Appendix B - Health is to report information about health insurance coverage offered to employees and their dependents.
Information such as the type of health insurance coverage offered, the number of employees enrolled, and the cost of coverage must be reported on Appendix B - Health.
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