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UnitedHealthcare Date Printed: current date. O. Box 22409 Louisville, KY 40252 Phone: (866) 2142980 Fax: (502) 3265303COBRA CONTINUATION COVERAGE ELECTION NOTICEQualified Beneficiaries full prequalification
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What is UnitedHealthcareDate Printed: current date Form?

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Unitedhealthcaredate printed current date is the date that is currently displayed on the document.
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The unitedhealthcaredate printed current date should be filled out by entering the current date as it appears on the document.
The purpose of the unitedhealthcaredate printed current date is to indicate the date on which the document was printed or created.
The only information required on the unitedhealthcaredate printed current date is the actual date that the document was printed.
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