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Cagney Healthcare of Illinois, Inc. INDIVIDUAL AND FAMILY EVIDENCE OF COVERAGE Cagney Connect 1400 THIS EVIDENCE OF COVERAGE MAY NOT APPLY WHEN YOU HAVE A CLAIM! PLEASE READ! This Evidence of Coverage
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il-cigna-connect-1400-mihm-0193-0192 is a form used for reporting specific health insurance information to the IRS.
Employers or health insurance providers offering coverage to individuals are required to file il-cigna-connect-1400-mihm-0193-0192.
Il-cigna-connect-1400-mihm-0193-0192 is typically filled out with information related to the health coverage provided, including details about the coverage and the individuals covered.
The purpose of il-cigna-connect-1400-mihm-0193-0192 is to report health insurance coverage information to the IRS to comply with the Affordable Care Act.
Information such as the names and social security numbers of covered individuals, the months of coverage, and details about the coverage itself must be reported on il-cigna-connect-1400-mihm-0193-0192.
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