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Continuity of Care Request Form Medical Plan: 18186766654 (fax) or 18186765161 (fax) Cal Disconnect Plan: 18669220783 (fax) Today's date: Form must be completed fully to avoid a processing delay.
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Update - health net is a form that needs to be filed to provide current information about the health net coverage.
Employers who offer health net coverage to their employees are required to file update - health net.
Update - health net can be filled out electronically or by submitting a paper form with the required information.
The purpose of update - health net is to ensure that accurate information about health net coverage is provided to all employees.
Information such as the type of health net coverage offered, the cost to the employee, and the coverage period must be reported on update - health net.
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