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Health Care Assistance Plan HCAP Medical Plan Verification 2017 I do not wish to have HCAP the employer-provided medical coverage. All children under age 26 are eligible. Please complete and return by December 12 2016. Employee DOB Employee only 140/month Address Phone E-mail Address Spouse DOB Spouse Has Own Insurance Yes No Spouse Employment Status only complete if you would like your spouse on your insurance Employee Spouse 190/month Couple rate My spouse is unemployed no paperwork...
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Health care assistance plan is a program established to provide financial aid to individuals who need help with their medical expenses.
Employers or organizations that offer health care benefits to their employees.
Health care assistance plans can be filled out online or through paper forms provided by the employer or organization.
The purpose of health care assistance plan is to help individuals afford their medical expenses and improve access to healthcare services.
Information such as employee demographics, coverage details, and contributions made towards health care benefits.
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