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Company Name: CIA Service Corp Group Policy # 678223 CIA GroupPlease fax the completed form to: Clear Form Fax Number: 8664115613 The Hartford Attending Physicians Statement Initial P.O. Box 14301
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Small group 50 or refers to a form or report that must be filed for groups with 50 or fewer members.
Employers or organizations with small groups of 50 or fewer members are required to file small group 50 or.
Small group 50 or can be filled out by providing information about the group members, their coverage, and other relevant details.
The purpose of small group 50 or is to report information about small groups and their health coverage.
Information such as group member details, coverage options, and other relevant data must be reported on small group 50 or.
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