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PRINTED: 02/21/2018
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION
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How to fill out short-term limited-duration insurance

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Who needs short-term limited-duration insurance?
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Individuals experiencing a gap in traditional health insurance coverage
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What is short-term limited-duration insurance?
Short-term limited-duration insurance is temporary health coverage that provides benefits for a specified period of time, usually ranging from a few months to up to a year.
Who is required to file short-term limited-duration insurance?
Individuals who are in need of temporary health coverage and do not have access to other types of insurance may choose to enroll in short-term limited-duration insurance.
How to fill out short-term limited-duration insurance?
To fill out short-term limited-duration insurance, individuals need to provide personal information, health history, select coverage options, and make premium payments.
What is the purpose of short-term limited-duration insurance?
The purpose of short-term limited-duration insurance is to provide individuals with temporary health coverage during transitional periods, such as in between jobs or waiting for other coverage to begin.
What information must be reported on short-term limited-duration insurance?
Short-term limited-duration insurance typically requires individuals to report personal information, medical history, coverage preferences, and payment details.
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