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Model Notice to Enrollees in a Self-Funded, Non-Federal Governmental Group Health Plan For Plan Years Beginning On or After Sept
ICR 202409-0938-012 · OMB 0938-0702 · Object 148645801.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Model Notice to Enrollees in a Self-Funded, Non-Federal Governmental Group Health Plan For Plan Years Beginning On or After Sept |
| Subject | Model Notice to Enrollees in a Self-Funded, Non-Federal Governmental Group Health Plan For Plan Years |
| Author | CMS/CCIIO |
| File Created | 2026-01-28 |
| Conversion State | partial |