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Collin County Counseling 2150 S. Central Empty Ste., 200 McKinney, TX 75070 (469) 2193256DEMOGRAPHIC/INSURANCE INFORMATION Date Child's Name: DOB: Age: Child's Primary Residence: City: Zip: Caregiver
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How to fill out demographicinsurance information
01
To fill out demographic insurance information, follow these steps:
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Start by gathering all the necessary personal information, such as your full name, date of birth, and social security number.
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Then, provide your employment details, such as your current job title, employer's name, and work address.
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Make sure to include any dependent information, such as the names and dates of birth of your spouse and children.
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If applicable, provide details about any other health insurance coverage you may have.
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Who needs demographicinsurance information?
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Demographic insurance information is needed by individuals who are applying for health insurance coverage.
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Employers may also request this information to enroll their employees in group health insurance plans.
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