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Employer Enrollment Application For 1100 Employee Small GroupsCaliforniaHealth care plans offered by Anthem Blue Cross (Anthem). Insurance plans offered by Anthem Blue Cross Life and Health Insurance
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If known requested effective refers to the date or time frame that is specifically requested or required to be known in order to effectively complete a task or process.
The individual or entity who is responsible for completing the task or process that requires the known effective date or time frame is required to file if known requested effective.
To fill out if known requested effective, simply provide the specific date or time frame that is being requested or required for the task or process.
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