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Contribution Plan Summary Plan

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Healthy Indiana Plan Health Plan Summary - IN.gov

Healthy Indiana Plan Health Plan Summary - IN.gov

www.in.gov

Healthy Indiana Plan Health Plan Summary Please see the back of this page for more plan benefits HIP-MBR-001 (MAX) 800-356-1204, Press Option 1, then Option 4. Our nurses help you with questions about your health. You, your employer or a non-profit organization can make payments to your POWER Account in one of these ways: • Check or money order.

  Plan, Summary, Indiana, Summary plan, Indiana plan

FOR SMALL BUSINESSES - DOL

FOR SMALL BUSINESSES - DOL

www.dol.gov

the plan, including a copy of the summary description. The required notice also informs employees of the plan’s election periods during which eligible employees can decide to contribute to the plan. For employers that use one of the model forms, page 3 of both Form 5304-SIMPLE and Form 5305-SIMPLE have a model notice.

  Plan, Summary

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