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Cagney Health and Life Insurance Company may change the Premiums of this Policy after 75 days written notice to the Insured Person. However, We will not change the Premium schedule for this Policy
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It is a form used for reporting certain information to Cigna.
Employers offering Cigna health plans are required to file this form.
The form can be filled out electronically or manually, following the instructions provided by Cigna.
The purpose is to report information related to Cigna health plans offered by employers.
Information such as employee details, coverage details, and contributions must be reported.
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