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EXHIBIT I CURRENT MEDICAL PLAN RESPONSE FORM BlueOptions Pre-schedule OF BENEFITS CURRENT PROPOSED In Network Out of Network In Network Out of Network Calendar Year DeductibleEmployee $500 Combined
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Start by reviewing the current medical plan document thoroughly to understand the requirements and policies.
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If any changes or updates occur after submitting the response, promptly inform the appropriate party.
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Keep yourself updated on any further communication or actions required regarding your medical plan response.

Who needs current medical plan response?

01
Anyone who is enrolled in a current medical plan and is required to provide a response as per the plan's requirements.

What is CURRENT MEDICAL PLAN RESPONSE Form?

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Before filling out CURRENT MEDICAL PLAN RESPONSE .doc form, be sure that you have prepared enough of necessary information. This is a mandatory part, because typos can bring unwanted consequences from re-submission of the whole word form and completing with missing deadlines and you might be charged a penalty fee. You ought to be especially observative filling out the digits. At first glance, this task seems to be dead simple thing. Nonetheless, it is easy to make a mistake. Some use such lifehack as saving their records in another document or a record book and then attach this information into documents' samples. Anyway, come up with all efforts and provide valid and correct information with your CURRENT MEDICAL PLAN RESPONSE .doc form, and check it twice while filling out all required fields. If it appears that some mistakes still persist, you can easily make corrections while using PDFfiller editor and avoid missing deadlines.

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