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HEALTH CARE SECURITY ORDINANCE EMPLOYEE VOLUNTARY WAIVER FORM Updated November 1, 2017ATTENTION EMPLOYEES: IF YOU COMPLETE THIS FORM, YOU ARE GIVING UP YOUR RIGHT TO RECEIVE HEALTH CARE SERVICES FROM

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What is health care security ordinance?

The health care security ordinance is a law that requires certain employers to contribute to the health care costs of their employees.

Who is required to file health care security ordinance?

Employers with a specified number of employees are required to file the health care security ordinance.

How to fill out health care security ordinance?

Employers can fill out the health care security ordinance by providing information about their employees and health care contributions.

What is the purpose of health care security ordinance?

The purpose of the health care security ordinance is to ensure that employees have access to affordable health care coverage.

What information must be reported on health care security ordinance?

Employers must report information about their employees, including their health care coverage and contributions.

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