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Cagney Healthcare of North Carolina, Inc. INDIVIDUAL AND FAMILY EVIDENCE OF COVERAGE Cagney Connect 7003 THIS EVIDENCE OF COVERAGE MAY NOT APPLY WHEN YOU HAVE A CLAIM! PLEASE READ! This Evidence of
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nc-cigna-connect-700-3-mihm0243 is a specific form used for reporting certain information related to health insurance coverage.
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The purpose of nc-cigna-connect-700-3-mihm0243 is to provide the IRS with information about individuals covered under health insurance plans to ensure compliance with the Affordable Care Act.
Information such as the names, social security numbers, and months of coverage for individuals covered under the health insurance plan must be reported on nc-cigna-connect-700-3-mihm0243.
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