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Cagney Healthcare of Illinois, Inc. INDIVIDUAL AND FAMILY EVIDENCE OF COVERAGE Cagney Connect 29002 THIS EVIDENCE OF COVERAGE MAY NOT APPLY WHEN YOU HAVE A CLAIM! PLEASE READ! This Evidence of Coverage

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Anyone who is eligible for and wishes to enroll in the Cigna Connect 2900-2 health insurance plan (il-cigna-connect-2900-2-mihm0114) may need to fill out this form. This includes individuals seeking individual coverage, families, or those who are transitioning from another health insurance plan.

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What is il-cigna-connect-2900-2-mihm0114?

Il-cigna-connect-2900-2-mihm0114 is a tax form used for reporting health insurance coverage.

Who is required to file il-cigna-connect-2900-2-mihm0114?

Individuals who have health insurance coverage are required to file il-cigna-connect-2900-2-mihm0114.

How to fill out il-cigna-connect-2900-2-mihm0114?

Il-cigna-connect-2900-2-mihm0114 can be filled out by providing information about the health insurance coverage and the individuals covered.

What is the purpose of il-cigna-connect-2900-2-mihm0114?

The purpose of il-cigna-connect-2900-2-mihm0114 is to ensure compliance with the Affordable Care Act and to report health insurance coverage.

What information must be reported on il-cigna-connect-2900-2-mihm0114?

Information such as the names of individuals covered, the months of coverage, and the type of coverage must be reported on il-cigna-connect-2900-2-mihm0114.

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