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MEDICARE ADVANTAGE HMO GROUP ENROLLMENT REQUEST FORM 18777956118 Application Processing Center 301 S. Vine St. Urbana, IL 61801 Office Use Only: Name of staff member/agent/broker (if assisted in enrollment):
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To fill out plan id, follow these steps:
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Who needs plan id?

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Plan id is needed by individuals or organizations who are participating in a specific plan or program. It is commonly required in health insurance, retirement plans, financial services, and various membership programs where personalized identification is essential.
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Plan ID is a unique identifier assigned to a specific plan or program.
Employers or plan administrators are typically required to file plan ID.
Plan ID can be filled out online through the designated platform or submitted via mail.
The purpose of plan ID is to track and identify specific retirement or benefit plans.
Information such as plan name, type, sponsor, and participant count must be reported on plan ID.
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