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SurvivorIncome ProtectorApplication PacketForms included in this packet: Application (Series 5504) Medical Information Authorization (Series 8485) Must be signed and submitted with the application.
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HMS Plus Cover IC is a type of insurance coverage provided by the Health Management System.
Employers who offer HMS Plus Cover IC to their employees are required to file it.
To fill out HMS Plus Cover IC, employers must provide information about the insurance coverage offered.
The purpose of HMS Plus Cover IC is to provide health insurance benefits to employees.
Information such as the type of coverage, premiums, and number of employees covered must be reported on HMS Plus Cover IC.
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