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2020 MEDICAL DEDUCTION FORM Name___Facility/Program ___Instructions: If you are participating in the wellness program circle the deduction applicable to you in the box under 2020 Wellness Contributions.
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Terence Cardinal Cooke Health is a form filed by certain individuals to report their health insurance coverage.
Individuals who have health insurance coverage are required to file Terence Cardinal Cooke Health.
Terence Cardinal Cooke Health form can be filled out online or on paper by providing information about the health insurance coverage.
The purpose of Terence Cardinal Cooke Health is to report health insurance coverage to the relevant authorities.
Information such as the type of health insurance coverage, policy number, and coverage period must be reported on Terence Cardinal Cooke Health.
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2020 epo archcare hra ppo employee1 archcares reimbursement electing applicable deducted opt wellness entitles discontinued outlined paychecks bi quarterly deduct participating requirement deduction reduction waive requirements contributions

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