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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESCONFIDENTIAL REPORT NOT SUBJECT TO PUBLIC DISCLOSUREREPORT OF SUSPECTED DEPENDENT ADULT/ELDER ABUSE TO BE
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State of California Health and is a form used to report health coverage information to the state.
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The purpose of state of California Health and is to ensure that individuals have access to quality health coverage and to track health insurance coverage in California.
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Information such as the names and Social Security numbers of individuals covered, the type of health coverage provided, and the duration of coverage must be reported on state of California Health and.
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