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7120 Lake Ellen or Drive Orlando, FL 32809 November 28, 2012, Group Name, Group Number Primary Contact Address 2 City State Zip HIP Special Open Enrollment Announcement Dear Group Administrator, Effective
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Effective January 1, HIP refers to the new health insurance plan that will be implemented starting on that date.
All individuals enrolled in the health insurance plan are required to file the Effective January 1 HIP form.
To fill out the Effective January 1 HIP form, individuals need to provide personal information, details about their health insurance coverage, and any changes in their status.
The purpose of Effective January 1 HIP is to ensure that individuals maintain accurate and up-to-date health insurance information.
Information such as personal details, health insurance coverage details, and any changes in status must be reported on the Effective January 1 HIP form.
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