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Please do not staple here. Staple here. Verification Packet 2012-13 Re-enrollment Information included Please note that this packet is 10 pages. (If you need a packet sent to you, please contact us.)
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How to fill out verif and re-en cover:

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Start by gathering all the necessary information. This includes the full names of the individuals covered under the policy, their addresses, birth dates, and any other relevant details.
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Verif and re-en cover is a verification and re-enrollment form required for updating information and reconfirming eligibility.
All individuals who receive benefits or services that require eligibility verification.
Verif and re-en cover can be filled out online or by submitting a paper form with accurate and updated information.
The purpose of verif and re-en cover is to ensure that individuals are still eligible for benefits and to update any changes in their information.
Information such as income, family size, address, and any changes in eligibility criteria must be reported on verif and re-en cover.
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