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For Office Use OnlyApplicationEffective Dates I.D. NumberApproved by:Green Shield Canada|Source/Agent I.D. Number1491PRISM SPECTRA SECTION Badge NumberCoverage Information(Please print clearly or

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What is prism a health and?

Prism a health and is a form used to report information about an individual's health coverage.

Who is required to file prism a health and?

Employers and insurance companies are required to file prism a health and.

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Prism a health and can be filled out electronically or on paper, following the instructions provided.

What is the purpose of prism a health and?

The purpose of prism a health and is to provide information about an individual's health coverage for tax purposes.

What information must be reported on prism a health and?

Information such as the individual's name, social security number, and the months in which they had health coverage must be reported on prism a health and.

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