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    • [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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      5D Full No Medi-Cal PE (Title XXI), HFP Transitional Children. Provides full-scope Medi-Cal coverage with a premium payment for children whose family’s income is above 150 percent up to and including 250 percent of the FPL during the transition period by the state until the annual eligibility review by the county.

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    • [DOC File]Scoring Rubric for Oral Presentations: Example #1

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      Category Scoring Criteria Total Points Score Organization (15 points) The type of presentation is appropriate for the topic and . audience. 5 Information is presented in a logical sequence. 5

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    • [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,

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    • [DOC File]www.dol.gov

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      The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage election notice that the Plan may use to provide the election notice. To use this model election notice properly, the Plan Administrator must fill in the blanks with the appropriate plan information.

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    • [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 ...

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    • [DOC File]www.dol.gov

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      Model COBRA Continuation Coverage General Notice . Instructions . The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage general notice that plans may use to provide the general notice.

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    • [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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