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Tuberculosis. Tumor growth or cyst. Ulcerative colitis or Crohn s Disease. 46. Varicose Veins. 47. Any other condition or treatment in the last 5 years. If you have cancelled High Risk Pool Basic Standard Catastrophic A or B HSA coverage within the past 12 months you may not be eligible for coverage unless you are a federally defined eligible individual. Please read the Notice of Federal Eligibility on the bottom of page 3 of this application. Applicant s Name Insurance Company Policy and...
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Who needs office use onlypolicy number?

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Office use only policy number is typically required by insurance agents, underwriters, or administrative staff members within an insurance company.
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These individuals utilize the office use only policy number for internal purposes such as tracking and identifying specific policies, managing claims, or processing paperwork.
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It is not meant for external or customer use as it is solely intended for internal operations.
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The office use only policy number is a unique identifier assigned to an insurance policy for internal record keeping purposes.
Insurance companies and agents are required to file the office use only policy number.
The office use only policy number can be filled out on the insurance policy application form or it can be assigned by the insurance company.
The purpose of the office use only policy number is for internal tracking and referencing of insurance policies.
The office use only policy number must include details such as the policy holder's name, coverage details, and policy expiration date.
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