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Calhoun County Health Improvement Mandate Updated: May 25, 2017For additional information, CONTACT: NameOrganizationPhoneEmailBarb Riley Calhoun County Public Heath7122978323briley×calhouncountyiowa.com
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It is a form provided by Calhoun County for reporting information related to health insurance coverage.
Employers and individuals who provide health insurance coverage are required to file the form.
The form should be filled out with accurate information about the health insurance coverage provided.
The purpose of the form is to report health insurance coverage information to the relevant authorities.
Information such as the name of the insured, policy number, coverage period, and type of coverage must be reported on the form.
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