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This document is an authorization form for automatic payments of monthly premiums for the USC Senior Care Plan using major credit cards. Members can authorize USC Health Plans to charge their selected credit card for premium payments and may cancel the agreement with prior written notification.
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Form B is a specific tax or informational form used for reporting certain financial activities or status to the relevant authorities.
Individuals or entities engaged in activities that the form addresses, such as businesses or organizations, are required to file Form B.
To fill out Form B, gather all necessary financial information, complete the required fields accurately, and follow the specific instructions provided for the respective form.
The purpose of Form B is to ensure compliance with financial reporting requirements and to provide necessary information to tax authorities or regulatory bodies.
Form B typically requires reporting of financial data, income, expenses, and any other relevant information as specified by the authority.
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