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Virginia Individual Anthem Dental Enrollment Application IMPORTANT: If you are a new applicant, a separate premium payment is required to be submitted with each application. If you are a current Individual
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off_hix_va_dental aca prime 115 is a specific form used for reporting dental coverage information under the Affordable Care Act.
Insurance providers or employers offering dental coverage are required to file off_hix_va_dental aca prime 115.
off_hix_va_dental aca prime 115 can be filled out online or through paper forms, providing details of the dental coverage offered.
The purpose of off_hix_va_dental aca prime 115 is to report information about the dental coverage offered to individuals and the IRS.
Information such as the name of the insured, policy number, coverage period, and the amount of premium paid must be reported on off_hix_va_dental aca prime 115.
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