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CANS, UNICARE HEALTH AND ACCIDENT CLAIM FORM SECTION A TO BE COMPLETED BY EMPLOYEE 1 GROUP POLICY NUMBER PLAN NAME: 2 NAME OF EMPLOYEE SOCIAL SECURITY NO. UC 106269 CANS SEX M ADDRESS OF EMPLOYEE:
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Canus Unicare Health and is a form used to report health coverage information to the IRS.
Employers and health insurance providers are required to file Canus Unicare Health and.
Canus Unicare Health and form can be filled out electronically or manually by providing the required information about health coverage.
The purpose of Canus Unicare Health and is to provide information to the IRS and individuals about health coverage.
Information such as employer-provided health insurance, covered individuals, and the months of coverage must be reported on Canus Unicare Health and.
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