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Iowa Department of Human ServicesNotice of Healthy and Well Kids in Iowa (hawki) Premium Overpayment Date:Account:KEEP THIS PART If you have questions about repayment, call 18005723945 (toll free).
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Obtain the 470-3984 notice form from the relevant agency or website.
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The 470-3984 notice of healthy is a form used to report health insurance coverage for individuals and families, typically for tax purposes.
Individuals or entities that offer health insurance coverage to employees or family members are required to file the 470-3984 notice of healthy.
To fill out the 470-3984 notice of healthy, gather the necessary information about the health coverage, including names, coverage dates, and policy numbers, and then complete the form by following the provided instructions.
The purpose of the 470-3984 notice of healthy is to document health insurance coverage for individuals, ensuring compliance with health care laws and regulations.
The information that must be reported includes the names of insured individuals, the type of health coverage, coverage dates, and any applicable identification numbers.
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