Document
Model Notice to Enrollees in a Self-Funded Nonfederal Governmental Group Health Plan for Plan Years Beginning On or After Sept.
ICR 201408-0938-011 · OMB 0938-0702 · Object 49882001.
This document may belong to an older filing. More recent activity for OMB 0938-0702:
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Model Notice to Enrollees in a Self-Funded Nonfederal Governmental Group Health Plan for Plan Years Beginning On or After Sept. |
| Subject | Model Notice to Enrollees |
| Author | CCIIO/CMS |
| File Modified | 2014-06-12 |
| File Created | 2012-11-06 |
| Conversion State | complete |