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2024SILVER COMMUNITY (HMO POS)ANNUAL NOTICE OF CHANGE 18665358343 (TTY: 711) KelseyCareAdvantage.com H0332_007ANOC24_M23K0221012_2024 ANON Covers_ENG_R2.Indy 58/9/23 4:49 PMKelseyCare Advantage Honor

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How to fill out annual notice of change

01

Read through the annual notice of change carefully to understand the changes in your plan for the upcoming year.

02

Make note of any changes in premiums, deductibles, copayments, and covered benefits.

03

Fill out any required sections regarding your personal information, such as name, address, and plan ID.

04

Submit the completed annual notice of change by the deadline specified by your insurance provider.

Who needs annual notice of change?

01

Individuals enrolled in Medicare Advantage plans

02

Individuals enrolled in Medicare Part D prescription drug plans

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What is annual notice of change?

An annual notice of change is a formal document that informs relevant parties about changes to certain details or regulations that may affect a business or organization over the course of a year.

Who is required to file annual notice of change?

Entities such as corporations, limited liability companies (LLCs), and non-profit organizations are typically required to file an annual notice of change to update their registration information with the state or relevant authority.

How to fill out annual notice of change?

To fill out an annual notice of change, one must provide accurate and up-to-date information regarding the entity's name, address, registered agent, and any changes in management or operational structure, as required by the governing body.

What is the purpose of annual notice of change?

The purpose of the annual notice of change is to ensure that official records are kept current, promoting transparency and compliance with legal requirements.

What information must be reported on annual notice of change?

Information that must be reported includes the entity's current name, address, registered agent, changes in management or ownership, and any alterations to the business structure.

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