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OMB No. 09381378 Expires:7/31/20232022 Blue Cross Secures (HMO) Individual Enrollment Request Form Who can use this form? Reminders: People with Medicare who want to join a Medicare Advantage Plan.
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omb no 0938-1378 individual is a form used for reporting individual income tax information to the Internal Revenue Service (IRS).
Individuals who have earned income and are required to file a federal income tax return must use omb no 0938-1378 individual.
To fill out omb no 0938-1378 individual, individuals need to provide information about their income, deductions, credits, and personal information as requested on the form.
The purpose of omb no 0938-1378 individual is to accurately report individual income tax information to the IRS for tax purposes.
Information such as income, deductions, credits, personal information, and any other relevant tax-related details must be reported on omb no 0938-1378 individual.
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