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CaliforniaEnrollment Form Instructions Section 1: Personal Information Please complete information requested. Section 2: Selected Coverage Select only one of the plans offered by your Employer for
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How to fill out section 2 selected coverage
How to fill out section 2 selected coverage
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Section 2 selected coverage refers to specific coverage options chosen by an individual or company for their insurance policy.
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The policyholder or insured party is required to file section 2 selected coverage with their insurance provider.
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What information must be reported on section 2 selected coverage?
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