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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 202508-0938-011 · OMB 0938-0702 · Object 161362300.

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File Typeapplication/octet-stream
File TitleModel Notice to Enrollees in a Self-Funded, Non-Federal Governmental Group Health Plan For Plan Years Beginning On or After Sept
SubjectModel Notice to Enrollees in a Self-Funded, Non-Federal Governmental Group Health Plan For Plan Years
AuthorCMS/CCIIO
Last Modified ByWriter
File Modified2024-10-31
File Created2026-04-19
Conversion Statecomplete