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Cagney Healthcare of North Carolina, Inc. INDIVIDUAL AND FAMILY EVIDENCE OF COVERAGE Cagney Connect 04 THIS EVIDENCE OF COVERAGE MAY NOT APPLY WHEN YOU HAVE A CLAIM! PLEASE READ! This Evidence of
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nc-cigna-connect-0-4-mihm0237 is a form used to report health insurance coverage information to the IRS.
Employers who provide health insurance coverage to their employees are required to file nc-cigna-connect-0-4-mihm0237.
nc-cigna-connect-0-4-mihm0237 can be filled out online or by paper. Employers need to report detailed information about the health insurance coverage provided to employees.
The purpose of nc-cigna-connect-0-4-mihm0237 is to provide the IRS with information about the health insurance coverage offered to employees.
Employers need to report the names, Social Security numbers, and coverage details of employees who were offered health insurance coverage.
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