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The Customer Care Center P.O. Box 982010 North Richland Hills, TX 761828010[Date][Insured] [Address] [City, State, Zip] RE:Termination of Your Health Benefit Plan Effective 12/31/2013 Plan No.: [xxxxxxxxxx]Dear
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Gather all necessary personal information such as name, address, date of birth, and contact information.
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BHSF Health Insurance Personal AMP refers to the Health Insurance Personal Account Management Program that provides individuals with health insurance coverage options and resources.
Individuals who are enrolled in the BHSF health insurance program and need to report their health insurance information for tax purposes are required to file the BHSF Health Insurance Personal AMP.
To fill out the BHSF Health Insurance Personal AMP, individuals should gather their insurance documentation, complete the necessary forms with their personal information, including coverage details, and submit it to the relevant health insurance authority.
The purpose of the BHSF Health Insurance Personal AMP is to ensure that individuals report their health insurance status for compliance with health care regulations and to facilitate access to health services.
The information that must be reported includes the individual's personal details, insurance coverage type, policy number, and the duration of the insurance coverage.
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