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Request for voluntary discontinuation of coverage This form is intended for the use of Individual marketplace and Senior Supplement members only. This is to notify Mercenary Health Plans, that I am

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What is request for voluntary discontinuation?

A request for voluntary discontinuation is a formal request made by a company to stop a product or service voluntarily.

Who is required to file request for voluntary discontinuation?

Any company that wishes to discontinue a product or service voluntarily is required to file a request for voluntary discontinuation.

How to fill out request for voluntary discontinuation?

The request for voluntary discontinuation can be filled out by providing information about the product or service being discontinued and the reason for discontinuation.

What is the purpose of request for voluntary discontinuation?

The purpose of the request for voluntary discontinuation is to inform relevant authorities and customers about the decision to discontinue a product or service.

What information must be reported on request for voluntary discontinuation?

The request for voluntary discontinuation must include details about the product or service, the reason for discontinuation, and any relevant dates.

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