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Individual Enrollment Request Form to Enroll in a Medicare Advantage Plan (Part C) Who can use this form?OMB No. 09381378 Expires: 7/31/2024Reminders:If you want to join a plan during fall open enrollment
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Can Choose to Sign refers to a voluntary option provided by tax authorities that allows an individual or business to authorize a representative to handle tax matters on their behalf.
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Individuals or business entities that wish to give authority to a representative or want to make choices regarding their tax filings may be required to file Can Choose to Sign.
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