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Transaction Form for group ACCOUNTS I. SUBSCRIBER INFORMATION Last Name First Name Street Address Apt. Were you ever a member of EmblemHealth? NO YES If YES, member ID Applicants hours worked per
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What is were you ever a?
Were you ever a is a question asking if the individual has ever been a part of a specific group or organization.
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Individuals who have been affiliated with the mentioned group or organization are required to file were you ever a.
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You need to provide accurate information about your past affiliation with the group or organization in the were you ever a form.
What is the purpose of were you ever a?
The purpose of were you ever a is to gather information about an individual's past affiliations and activities.
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You must report details about your past involvement with the group or organization, including dates and roles.
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