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New Health Insurance Marketplace Coverage Options and Your Health CoverageForm Approved OMB No. 12100149 (expires 1312017)PART A: General Information When key parts of the health care law take effect
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The information required to be reported on Document Center - Brookhaven may vary depending on the type of document being filed, but typically includes details such as names, addresses, dates, and any other relevant information specified by the filing requirements.
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