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2019 CHECKLIST and WORKSHEET
FOR QUALIFIED HEALTH PLANS IN THE
CALIFORNIA HEALTH BENEFIT EXCHANGE
The Department of Managed Health Care (DMC) offers the following information to assist
Individual
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Start by downloading the checklist and worksheet template for the year 2019.
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Open the downloaded template in a spreadsheet software like Microsoft Excel or Google Sheets.
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What is checklist and worksheet?
Checklist is a list of items or tasks that need to be completed, while a worksheet is a document where calculations or data are recorded.
Who is required to file checklist and worksheet?
The individuals or organizations mandated by law or regulation to file checklist and worksheet are required to do so.
How to fill out checklist and worksheet?
Checklist and worksheet can be filled out by entering the required information in the designated fields or sections.
What is the purpose of checklist and worksheet?
The purpose of checklist and worksheet is to ensure that all necessary tasks are completed and data is recorded accurately.
What information must be reported on checklist and worksheet?
Information such as completed tasks, calculations, or data related to a specific project or activity must be reported on checklist and worksheet.
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