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SMALL GROUP AFFIDAVIT OF DOMESTIC PARTNERSHIP GROUP: Number Name Last Name First Name Identification Number Last Name First Name Social Security Number EMPLOYEE: DOMESTIC PARTNER: I. DECLARATION:
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What is capital bluecross affidavit of?
Capital BlueCross Affidavit is a statement verifying the accuracy of information related to healthcare coverage provided by Capital BlueCross.
Who is required to file Capital BlueCross affidavit of?
Employers who offer healthcare coverage through Capital BlueCross to their employees are required to file the affidavit.
How to fill out Capital BlueCross affidavit of?
The affidavit can be filled out online on the Capital BlueCross website or through the employer's online account.
What is the purpose of Capital BlueCross affidavit of?
The purpose of the affidavit is to ensure that the information provided by employers regarding healthcare coverage is accurate and up-to-date.
What information must be reported on Capital BlueCross affidavit of?
Employers must report information such as the number of employees covered, plan details, and premium amounts.
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