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For example, you may be eligible to buy an individual plan through the Health Insurance Marketplace. By enrolling in coverage through the Marketplace, you may qualify for lower costs on your monthly premiums and lower out-of-pocket costs. Additionally, you may qualify for a 30-day special enrollment period for another group health plan for ...
[PDF File]VISA MERCHANT CATEGORY CLASSIFICATION (MCC) CODES DIRECTORY
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VISA MERCHANT CATEGORY CLASSIFICATION (MCC) CODES DIRECTORY MCC MERCHANT TYPE 0742 Veterinary Services ... 3020 AIR-INDIA 3021 AIR ALGERIE 3022 PHILIPPINE AIRLINES 3023 MEXICANA ... 5122 Drugs, Drug Proprietors, and Druggist’s Sundries 5131 Piece Goods, Notions, and Other Dry Goods ...
[PDF File]Medical Examination Report Form - Federal Motor Carrier ...
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Medical examiners are required to complete the Medical Examination Report Form for every driver physical examination performed in accordance with 49 CFR 391.41. Each original (paper or electronic) completed Medical Examination Report Form must be retained on file at the office of the medical examiner for at least 3 years from the date of ...
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit an inquiry to AEVS to verify a recipient’s eligibility for
[DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA
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LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED FMLA . Please note - this document should be placed on dept. letterhead. Date. Employee Name. Address, City, State Zip. Dear (name): I hope this letter finds you recuperating and getting your strength back ... LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA ...
[PDF File]TESTS GRANTED WAIVED STATUS UNDER CLIA CPT CODE(S) TEST ...
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TESTS GRANTED WAIVED STATUS UNDER CLIA. This list includes updates from Change Request FFS 10958 . CPT CODE(S) TEST NAME MANUFACTURER USE . 81002 Dipstick or tablet reagent urinalysis –
[DOC File]Sample Schedule A Letter - Veterans Benefits Administration
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Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.
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