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Employee name: ___VPS Benefits Election 2019 2020 Group: Administrator Coverage Period: 7/1/19 6/30/20 Premium amounts shown are withheld from 18 pays (Sept. May). Medical: Connecticut Flex POS w/
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Obtain the ConnectiCare of Massachusetts Inc application form.
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Submit the completed form to ConnectiCare of Massachusetts Inc as directed.

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Connecticare of Massachusetts Inc. is a health insurance company operating in Massachusetts and offering healthcare plans to individuals and employers.
Connecticare of Massachusetts Inc. is required to file its financial and operational information with the appropriate regulatory bodies.
Connecticare of Massachusetts Inc. must fill out the required forms and provide accurate and detailed information on its financial status and operations.
The purpose of Connecticare of Massachusetts Inc. is to provide health insurance coverage to residents of Massachusetts.
Connecticare of Massachusetts Inc. must report information such as financial statements, number of covered individuals, claims data, and regulatory compliance.
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