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EXHIBIT G Builders Protection Group LLC Wrap Administration Services Portland Public Schools CCIP Enrollment Forms Submission Guidelines To:Construction ParticipantFrom:Builders Protection Group You

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How to fill out pps- wrap enrollment packet

01

Step 1: Gather all the required documents for PPS-Wrap enrollment, which may include identification cards, proof of residence, and income verification.

02

Step 2: Download the PPS-Wrap enrollment packet from the official website.

03

Step 3: Fill out the personal information section of the enrollment form, including name, address, contact details, and social security number.

04

Step 4: Provide all necessary information about household members, such as their names, ages, and relationship to the primary applicant.

05

Step 5: Indicate the preferred PPS-Wrap plan option and coverage start date.

06

Step 6: Complete the income verification section by providing relevant financial information, including income sources and amounts.

07

Step 7: Review the filled-out enrollment packet for accuracy and completeness.

08

Step 8: Sign and date the enrollment form, certifying that all the provided information is true and accurate.

09

Step 9: Make copies of all the supporting documents and attach them to the enrollment packet.

10

Step 10: Send the completed PPS-Wrap enrollment packet along with the required documents to the designated address or submit it in person to the nearest PPS-Wrap office.

Who needs pps- wrap enrollment packet?

01

The PPS-Wrap enrollment packet is needed by individuals who want to enroll in the PPS-Wrap program to access healthcare services and financial support.

02

It is particularly necessary for individuals who meet the eligibility criteria for PPS-Wrap and wish to receive healthcare benefits through the program.

03

Eligibility requirements may vary depending on the specific PPS-Wrap plan and the state in which the individual resides.

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What is pps-wrap enrollment packet?

The pps-wrap enrollment packet is a set of forms and documents required to enroll in the pps-wrap program.

Who is required to file pps-wrap enrollment packet?

Service providers and vendors participating in the pps-wrap program are required to file the enrollment packet.

How to fill out pps-wrap enrollment packet?

The pps-wrap enrollment packet can be filled out online or by manually completing the forms provided by the program.

What is the purpose of pps-wrap enrollment packet?

The purpose of the pps-wrap enrollment packet is to gather necessary information about service providers and vendors participating in the pps-wrap program.

What information must be reported on pps-wrap enrollment packet?

The enrollment packet requires information such as contact details, services offered, pricing, and compliance with program requirements.

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