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BENEFIT PLAN CONTACT INFORMATION Health Plan Year 2022 Contact your health plan with questions about ID cards; verification of provider participation; service area boundaries (covered ZIP Codes);
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Attach any required supporting documents, such as proof of income or previous health coverage, as instructed.
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Once you have completed all the forms, review them one last time to ensure everything is filled out correctly.
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Make copies of the filled-out forms and supporting documents for your records.
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Submit the completed forms and any required documentation to the designated health plan office either by mail or electronically, following the provided instructions.
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It is a set of forms and documents related to health plans.
Employers offering health plans are required to file these forms.
The forms can be filled out online or manually, following the instructions provided.
The purpose is to report information about the health plans offered to employees.
Information such as plan details, coverage options, and employee contributions must be reported.
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