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Consumers Choice Health Plan Group Setup/Master Application Form Section 1 COMPANY INFORMATION Requested Effective Date Renewal Date (if applicable) Company Name Physical Address City State Zip County
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What is group setup and master?
Group setup and master refers to the process of setting up a group and designating a master for the group.
Who is required to file group setup and master?
Entities or individuals responsible for managing the group are required to file group setup and master.
How to fill out group setup and master?
Group setup and master can be filled out by providing relevant information about the group and designating a master for the group.
What is the purpose of group setup and master?
The purpose of group setup and master is to establish the structure of a group and assign responsibility to a designated master.
What information must be reported on group setup and master?
Information such as group members, roles within the group, and contact information for the group master must be reported on group setup and master.
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