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Patient Health History Name:___ University ID:___Tobacco/Nicotine Use: Never: Past: Current: Type: Cigarettes/Cigar/Pipe: Smokeless: Vaping: Phone Number:___Quit when: ___Email Address:___How many:___
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What is staff - university health?
Staff - university health is a form that collects information on the health insurance coverage provided to employees by the university.
Who is required to file staff - university health?
Employers are required to file staff - university health for all employees who are eligible for health insurance coverage through the university.
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Staff - university health can be filled out online through the university's HR portal or by downloading and completing a paper form.
What is the purpose of staff - university health?
The purpose of staff - university health is to ensure that all employees have access to adequate health insurance coverage through their employer.
What information must be reported on staff - university health?
Information such as employee name, employee ID, dependent information, coverage start date, and coverage end date must be reported on staff - university health.
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