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Get the free Certificate of Coverage, Fla. Admin. Code R. 69H-2.004

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Florida Administrative WeeklyVolume 35, Number 24, June 19, 2009(5)(a) Except as provided in paragraph 69O156.012(5)(b), F.A.C., the experience of all policy forms or certificate forms of the same
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The Certificate of Coverage (CoC) FLA is a document used to provide proof of health insurance coverage under the Florida law.
Employers who provide health insurance to their employees in Florida are required to file the Certificate of Coverage.
To fill out the Certificate of Coverage, complete the required fields with accurate information pertaining to the health insurance plan and the insured individuals.
The purpose of the Certificate of Coverage is to demonstrate compliance with state health insurance laws and to provide employees with proof of their coverage.
The information that must be reported includes the insurer's details, policy number, coverage dates, and the insured individuals' names.
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