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Get the www.pdffiller.com582304415--WELLNESS-REBATEGet the free WELLNESS REBATE CERTIFICATION FOR...

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EG USD USE ONLY2022Verified:WELLNESS REBATE CERTIFICATION FORM For Employees withSUTTER HEALTH PLUS (SHP) Medical Coverage (Payment Authorization and Wellness Consultation Information)Form due no
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The wellness rebate certification is a document that verifies an individual or organization's eligibility for a wellness rebate.
Employees or members of a group health plan who meet certain wellness program requirements are required to file the wellness rebate certification.
To fill out the wellness rebate certification, individuals need to provide information about their participation in the wellness program and other relevant details.
The purpose of the wellness rebate certification is to incentivize individuals to participate in wellness programs and promote a healthy lifestyle.
Information such as program participation, health outcomes, and other wellness-related data must be reported on the wellness rebate certification.
Fill out your wwwpdffillercom582304415--wellness-rebate wellness rebate certification online with pdfFiller!

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