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TOWNSHIP OF FRANKLIN
R062018
RESOLUTION APPOINTING A HEALTH INSURANCE BROKER FOR THE
TOWNSHIP OF FRANKLIN, FOR THE YEAR 2018, PURSUANT TO THE LOCAL
PUBLIC CONTRACTS LAW (N.J.S.A. 40A:111 ET SEQ.)
WHEREAS,
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How to fill out r-013-15 appointing health insurance

How to fill out r-013-15 appointing health insurance
01
Obtain a copy of the r-013-15 appointing health insurance form.
02
Read the instructions on the form carefully to understand the requirements and procedures.
03
Provide all the necessary personal and contact information in the specified fields.
04
Indicate the desired health insurance provider by selecting from the options provided.
05
If applicable, provide details of any existing health insurance coverage.
06
Sign and date the form to confirm the appointment of health insurance.
07
Submit the completed form to the relevant authority or organization.
Who needs r-013-15 appointing health insurance?
01
Anyone who wishes to appoint health insurance coverage needs the r-013-15 form.
02
This may include individuals who are newly eligible for health insurance, those wishing to change their current provider, or individuals who previously opted out of health insurance and want to enroll again.
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What is r-013-15 appointing health insurance?
The r-013-15 form is used for appointing a health insurance provider in order to facilitate the reporting and compliance with health insurance regulations.
Who is required to file r-013-15 appointing health insurance?
Entities that provide health insurance coverage or are involved in managing health benefits for individuals are typically required to file the r-013-15 form.
How to fill out r-013-15 appointing health insurance?
To fill out the r-013-15 form, provide the necessary identification information, details of the health insurance provider, and any relevant signatures required on the form.
What is the purpose of r-013-15 appointing health insurance?
The purpose of the r-013-15 form is to officially delegate authority for health insurance activities and ensure compliance with applicable health care laws and regulations.
What information must be reported on r-013-15 appointing health insurance?
The information required typically includes the names and contact details of the appointing and appointed parties, type of coverage, and any specific services related to health insurance.
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