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Primary Applicant Name Application Form ID Cagney Health and Life Insurance Company Connecticut Application for Dental Insurance Section A. Dental Coverage Options: 1. Select who the coverage is for:
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Cigna Health and Life Insurance Company is a health services organization that provides insurance products and services.
Employers who offer Cigna health and life insurance plans to their employees are required to file Cigna health and life forms.
To fill out Cigna health and life forms, employers need to provide information about their employees, including their names, social security numbers, and coverage details.
The purpose of Cigna health and life forms is to report health insurance coverage provided to employees and their dependents.
Employers must report information about the health insurance coverage provided to employees, including the names of the covered individuals and the months they were covered.
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