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Model Notice to Enrollees in a Self-Funded Nonfederal Governmental Group Health Plan for Plan Years Beginning On or After Sept.

ICR 201303-0938-008 · OMB 0938-0702 · Object 38361001.

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Document Metadata
File Typeapplication/octet-stream
File TitleModel Notice to Enrollees in a Self-Funded Nonfederal Governmental Group Health Plan for Plan Years Beginning On or After Sept.
SubjectModel Notice to Enrollees
AuthorCCIIO/CMS
File Modified2012-11-08
File Created2012-11-06
Conversion Statecomplete