Appendix B - Training Registration Data Elements

CMS-10464-30 day Appendix B data elements.pdf

Agent/Broker Data Collection in Federally-facilitated Health Insurance Exchanges

Appendix B - Training Registration Data Elements

OMB: 0938-1204

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APPENDIX B
TRAINING PROGRAM
REGISTRATION DATA ELEMENTS

User ID (Self assigned during the CMS Enterprise Portal registration)
First name
Last name
E-mail address
Telephone number
State
Zip Code
Role (FFE, FF-SHOP, or both)
National Producer Number (NPN)


File Typeapplication/pdf
AuthorBARRY BRAUTH
File Modified2013-05-03
File Created2013-05-03

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