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Group Administered Texas Nine (9) Month State
Continuation of Insurance Application Form
Who is Eligible?
Any individual who is covered under a group health plan either as the employee, the spouse
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What is month state continuation of?
Month state continuation is continuation of the current month.
Who is required to file month state continuation of?
Certain individuals or entities may be required to file month state continuation.
How to fill out month state continuation of?
Month state continuation can be filled out online or by mail.
What is the purpose of month state continuation of?
The purpose of month state continuation is to report current month activities.
What information must be reported on month state continuation of?
Information such as income, expenses, and any changes in status must be reported on month state continuation.
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