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Search results with tag "Creditable coverage disclosure"
Important Notice from [Insert Name of Entity] About Your ...
www.cms.govMODEL INDIVIDUAL CREDITABLE COVERAGE DISCLOSURE NOTICE LANGUAGE OMB 0938-0990 FOR USE ON OR AFTER APRIL 1, 2011 CMS Form 10182-CC Updated April 1, 2011 According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB
CREDITABLE COVERAGE DISCLOSURE TO INSTRUCTIONS & …
www.cms.govThe determination of creditable coverage status does not require an attestation by a qualified actuary except for a benefit option(s) under a Group Health Plan for which an employer or union is electing the retiree drug subsidy.