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[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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69 Restricted to emergency services No 200 Percent Infant OBRA. Provides emergency services only for eligible infants without satisfactory immigration status who are age 0 through 12 months old or beyond 1 year when inpatient status, which began before 1st birthday, continues and family income is at or below 200 percent of the FPL.
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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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[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 disability would have to have started at some time before the 60th day of COBRA continuation coverage and must last at least until the end of the 18-month period of COBRA continuation coverage. [Add description of any additional Plan procedures for this notice, including a description of any required information or documentation, the name ...
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[DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA
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resign due to your inability to return to work at this time. If I do not hear from you by [date - 7 days out], I will assume you have abandoned your position and your employment with OSU will be terminated. In this case, information regarding your rights under COBRA will be sent to you separately from Faculty and Staff Benefits.
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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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1st time buyer car dealerships