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Annual Eligibility Certification for Plan Year 2018Spousal Certification (Primary Coverage) Employees seeking primary coverage for a spouse shall certify spousal income to determine eligibility. Upon
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Certification blank is a form or document that requires an individual to certify certain information.
Certain individuals and organizations may be required to file a certification blank, depending on the specific requirements of the governing body or organization.
Certification blank can typically be filled out by providing the requested information and signing or certifying the document where indicated.
The purpose of certification blank is to ensure that accurate and truthful information is provided to the governing body or organization.
The specific information required on a certification blank will vary depending on the purpose of the form and the governing body or organization requesting the certification.
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