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Health Insurance Marketplace Coverage Options and Your Health CoverageForm Approved OMB No. 12100149 (expires 12312026)PART A: General Information Even if you are offered health coverage through your
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Offers one-stop shopping can be filled out online or via mail.
The purpose of offers one-stop shopping is to streamline the shopping experience for customers.
Information such as product details, pricing, and availability must be reported on offers one-stop shopping.
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