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AHC Student Health Benefit Plan 2012 2013 Waiver Request Form To request a waiver from the University-sponsored AHC Student Health Benefit Plan, submit this form to the Office of Student Health Benefits

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What is ahc shbp waiver request?

The AHC SHBP waiver request is a form that allows eligible individuals to request a waiver from the State Health Benefit Plan (SHBP) offered by the Affordable Housing Corporation (AHC) in order to seek alternative health coverage.

Who is required to file ahc shbp waiver request?

Individuals who are eligible for the State Health Benefit Plan (SHBP) offered by the Affordable Housing Corporation (AHC) and wish to seek alternative health coverage are required to file an AHC SHBP waiver request.

How to fill out ahc shbp waiver request?

To fill out the AHC SHBP waiver request, you need to obtain the form from the AHC website or their designated office. Fill in all the required information, including personal details, reason for requesting the waiver, and any supporting documentation. Once completed, submit the form as instructed by AHC.

What is the purpose of ahc shbp waiver request?

The purpose of the AHC SHBP waiver request is to provide eligible individuals the opportunity to seek alternative health coverage instead of enrolling in the State Health Benefit Plan (SHBP) offered by the Affordable Housing Corporation (AHC).

What information must be reported on ahc shbp waiver request?

The AHC SHBP waiver request requires individuals to report their personal details, such as name, contact information, and Social Security number. Additionally, individuals must provide a reason for requesting the waiver and may need to submit supporting documentation.

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