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Small Group Member Application for Medical, Dental, and Vision Insurance Please be sure ALL information below is complete to avoid delays in processing. Please print clearly using blue or black ink
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What is effective date?
Effective date is the date on which something is considered to take effect or become operational.
Who is required to file effective date?
The individual or entity responsible for implementing or carrying out the specified action or requirement.
How to fill out effective date?
To fill out effective date, you need to input the specific date on which the action or requirement will take effect.
What is the purpose of effective date?
The purpose of effective date is to clearly establish when a particular action or requirement will come into effect.
What information must be reported on effective date?
The information that must be reported on effective date depends on the specific action or requirement being implemented.
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