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OMB No. 09381378ENROLLMENT FORM
Prominence Health Plan
Texas Individual Enrollment Request Form
Medicare Advantage with Prescription Drug Coverage
ENROLLMENT Instructions can use this form?
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What is in section 2 are?
In section 2 are the employer must list the employee's legal name, social security number, date of birth, and citizenship or immigration status.
Who is required to file in section 2 are?
Employers are required to fill out section 2 of the form I-9 for each employee they hire.
How to fill out in section 2 are?
Employers must physically examine the employee's original documents and verify that they are genuine and relate to the employee.
What is the purpose of in section 2 are?
The purpose of section 2 is to verify the identity and eligibility to work of the employee hired.
What information must be reported on in section 2 are?
The employer must report the employee's legal name, social security number, date of birth, and citizenship or immigration status.
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