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PLEASE CHECK ONE IN EACH SECTION2020 LARGE GROUP MEDICAL Enrollment/Change Form HMO 800.884.4901 PPO 800.240.3270 Firmware. Complete PRINT CLEARLY. HMO Select Plus Network PPO Access Network Active
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Individuals who are using an HMO (Health Maintenance Organization) plan and want a quick reference guide to understand the key features and benefits of their plan.
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fc-hmoquick-reference-guidepdf is a quick reference guide for HMOs (Health Maintenance Organizations) to provide information on filing requirements and guidelines.
HMOs are required to file fc-hmoquick-reference-guidepdf.
fc-hmoquick-reference-guidepdf can be filled out by following the instructions provided in the guide.
The purpose of fc-hmoquick-reference-guidepdf is to ensure that HMOs comply with filing requirements and submit accurate information.
fc-hmoquick-reference-guidepdf must include specific financial and operational information related to the HMO.
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