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Group Health Insurance Application/Change Form Please print clearly and complete all sections that apply to you Additional instructions are included This application cannot be processed without this
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What is section 2 your information?
Section 2 of your information typically includes details about your personal identity, such as your name, address, and contact information.
Who is required to file section 2 your information?
Individuals or entities who are requested to provide their personal information are required to file section 2.
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Section 2 can be filled out by entering accurate and up-to-date personal details in the designated fields.
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The purpose of section 2 is to verify the identity of the individual or entity providing the information.
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Information such as name, address, contact information, and any other requested personal details must be reported on section 2.
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