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Cagney Health and Life Insurance Company 900 Cottage Grove Road Bloomfield, CT 06002Cigna Connect 29002 OUTLINE OF COVERAGE READ YOUR POLICY CAREFULLY. This outline of coverage provides a very brief
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Individuals who are applying for the Cigna Connect 2900-2 Silver KS health insurance plan
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This is a specific form for reporting health insurance coverage.
Insurance companies and employers who provide health insurance coverage are required to file this form.
The form should be completed with information about the individuals covered by the health insurance and the coverage provided.
The purpose is to report health insurance coverage to the IRS.
Information such as the names of covered individuals, their Social Security numbers, and the months they were covered must be reported.
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