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California Individual Enrollment Application / California IMPORTANT: If you are a new applicant, a separate premium payment is required to be submitted with each application. If you are a current
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Who needs ca_dmhc_reg1_off hix enrollment application20150317-093603_ml_chi-t:
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Individuals who are applying for enrollment in a health insurance exchange program through the California Department of Managed Health Care (DMHC).
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What is ca_dmhc_reg1_off hix enrollment application20150317-093603_ml_chi-t?
ca_dmhc_reg1_off hix enrollment application20150317-093603_ml_chi-t is a specific enrollment application form related to health insurance exchange offerings.
Who is required to file ca_dmhc_reg1_off hix enrollment application20150317-093603_ml_chi-t?
Individuals eligible for health insurance through the exchange are required to file ca_dmhc_reg1_off hix enrollment application20150317-093603_ml_chi-t.
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ca_dmhc_reg1_off hix enrollment application20150317-093603_ml_chi-t must be filled out with accurate personal and health insurance information as required by the form.
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The purpose of ca_dmhc_reg1_off hix enrollment application20150317-093603_ml_chi-t is to collect necessary information for enrolling in health insurance through the exchange.
What information must be reported on ca_dmhc_reg1_off hix enrollment application20150317-093603_ml_chi-t?
Information such as personal details, income, household size, and preference for health insurance coverage must be reported on ca_dmhc_reg1_off hix enrollment application20150317-093603_ml_chi-t.
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