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New Health Insurance Marketplace Coverage Options and Your Health CoverageForm Approved OMB No. 12100149H[SLUHV5312020PART A: General Information :
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UNIV stands for Universal Identifier and Verification form.
All entities and individuals subject to verification requirements are required to file UNIV.
UNIV can be filled out online through the designated platform or manually using the paper form provided.
The purpose of UNIV is to verify the identity and status of entities and individuals for regulatory compliance.
UNIV requires reporting of basic information such as name, address, identification numbers, and entity structure.
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