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CERTIFIED MAIL RECEIPT 7004 1160 0003 6436 9129 The organization may have to use a copy of this return to satisfy state reporting requirements For the 2005 calendar year. Or tax year beginning Check
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SEA stands for Special Enrollment Application, which is a form used by eligible individuals to enroll or change their enrollment in specific types of health coverage.
Individuals who qualify for special enrollment periods, such as certain life events, are required to file a SEA.
To fill out the SEA, individuals must provide personal information, details of qualifying life events, and any necessary documentation as required by the health coverage provider.
The purpose of the SEA is to allow individuals to apply for health coverage outside of the standard enrollment period due to qualifying life events.
Information that must be reported on the SEA includes personal identification details, the type of coverage being applied for, and verification of qualifying events.
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