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State of Rhode Island & Providence Plantations DEPARTMENT OF ADMINISTRATION Office of Employee Benefits Phone: (401) 2223160 Fax: (401)2222964 HEALTH INSURANCE ENROLLMENT / STATUS CHANGE Former Reopen
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The phone number is 401-222-3160 and the fax number is 401-222-2964.
Individuals or entities specified in the regulations are required to file.
The form must be completed accurately and submitted by the deadline.
The purpose is to report specific information to the appropriate authority.
The specific information required will vary depending on the regulations.
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