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Get the free OMB Control Number 0938-1254 The purpose of this model notice - cms

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The purpose of this model notice is to provide language for SHOP issuers to consider using when communicating with employers that (1) enrolled directly with issuers, agents, or brokers in SHOP HPS and
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OMB Control Number 0938-1254 is used to collect information for specific programs or activities approved by the Office of Management and Budget (OMB).
Entities or individuals specified in the instructions provided with the OMB Control Number 0938-1254 form are required to file it.
To fill out OMB Control Number 0938-1254, follow the instructions provided with the form and provide accurate and complete information.
The purpose of OMB Control Number 0938-1254 is to collect specific information for programs or activities approved by the Office of Management and Budget (OMB).
The specific information required to be reported on OMB Control Number 0938-1254 will be outlined in the instructions provided with the form.
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