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Model HIPAA Exemption Election/Election Renewal Doc for Plan Years Beginning on or After 9-23-10

ICR 201408-0938-011 · OMB 0938-0702 · Object 49881901.

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application/octet-stream
Model HIPAA Exemption Election/Election Renewal Doc for Plan Years Beginning on or After 9-23-10
Model HIPAA Exemption Election/Election Renewal Doc
CCIIO/CMS
2014-06-12
2012-11-06
complete