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Cagney Healthcare of Illinois, Inc. INDIVIDUAL AND FAMILY EVIDENCE OF COVERAGE Cagney Connect 1300 THIS EVIDENCE OF COVERAGE MAY NOT APPLY WHEN YOU HAVE A CLAIM! PLEASE READ! This Evidence of Coverage
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It is a specific form used for reporting health insurance coverage.
Individuals and businesses who provide health insurance coverage.
The form must be filled out with detailed information about the health insurance coverage provided.
The purpose is to report and track health insurance coverage for tax purposes.
Information such as the name of the insured individual, the coverage period, and the type of coverage.
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