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Post Office Box 98029 Baton Rouge, Louisiana 708989029 Customer Service: 18004952583 Fax: 12252982972 Date Printed: OTHER COVERAGE QUESTIONNAIRE IMPORTANT DOCUMENT Blue Cross and Blue Shield of Louisiana
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ba57 r0111 oformr coverage is a form used to report information about coverage under a healthcare plan.
Employers who provide healthcare coverage to their employees are required to file ba57 r0111 oformr coverage.
ba57 r0111 oformr coverage can be filled out online or using paper forms provided by the IRS. It requires information about the employer, employees, and the healthcare coverage provided.
The purpose of ba57 r0111 oformr coverage is to report information about the healthcare coverage provided to employees and to the IRS.
ba57 r0111 oformr coverage requires information about the employer, the employees covered, the type of coverage provided, and the months of coverage.
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