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Certified Planned Enrollment Entity Application Complete this packet to apply Complete Online Use this Enrollment Application to notify Covered California of an intent to participate in the Planned
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What is certified plan-based enrollment entity?
A certified plan-based enrollment entity is a organization that has been approved to enroll individuals in a specific health plan or insurance program.
Who is required to file certified plan-based enrollment entity?
Insurance companies, brokerages, and other organizations involved in enrolling individuals in health plans are required to file certified plan-based enrollment entity.
How to fill out certified plan-based enrollment entity?
Certified plan-based enrollment entity can be filled out electronically through the designated platform provided by the regulatory agency.
What is the purpose of certified plan-based enrollment entity?
The purpose of certified plan-based enrollment entity is to provide detailed information on the individuals enrolled in a specific health plan or insurance program.
What information must be reported on certified plan-based enrollment entity?
Certified plan-based enrollment entity must include information such as individual's name, date of birth, contact information, and plan details.
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