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New Health Insurance Marketplace Coverage
Options and Your Health CoverageForm Approved
OMB No. 12100149
(expires 6302023)PART A: General Information
When key parts of the health care law take effect
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What is applications ampamp forms?
Applications and forms are documents that individuals or organizations are required to fill out in order to apply for a service, program, license, or permit.
Who is required to file applications ampamp forms?
Any individual or organization that is seeking to obtain a service, program, license, or permit may be required to file applications and forms.
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The purpose of applications and forms is to collect necessary information from individuals or organizations in order to process their requests for services, programs, licenses, or permits.
What information must be reported on applications ampamp forms?
Typically, applications and forms will ask for personal or organizational information, as well as any relevant supporting documentation that is required for the specific request.
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