Item #: 1679774 | Model #: DLF496-SL
Adams® Certificate of Group Health Plan Coverage, 1-Use Interactive Digital Legal Form CANCELLED
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Adams® Certificate of Group Health Plan Coverage, 1-Use Interactive Digital Legal Form CANCELLED

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Product Details
  • Easy-to-follow questionnaire
  • Download completed forms after online assembly
  • Web browser: Microsoft Internet Explorer 7.0 or higher , Mozilla Firefox , Google Chrome , Safari 6.0 and earlier , Android standard browser
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6.99
6.99
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Adams
Adams® Certificate of Group Health Plan Coverage, 1-Use Interactive Digital Legal Form CANCELLED
Product Description
Adams® Interactive Digital Legal Forms let you create high quality legal documents tailored to your needs. Powered by DirectLaw Smart Forms technology.

This certificate provides evidence of your prior health coverage. You may need to furnish this certificate if you become eligible under a group health plan that excludes coverage for certain medical conditions that you have before you enroll. This certifi cate may need to be provided if medical advice, diagnosis, care, or treatment was recommended or received for the condition within the 6-month period prior to your enrollment in the new plan. If you become covered under another group health plan, check wi th the plan administrator to see if you need to provide this certificate. You may also need this certificate to buy, for yourself or your family, an insurance policy that does not exclude coverage for medical conditions that are present before you enroll.

  • Easy-to-follow questionnaire
  • Download completed forms after online assembly
  • Web browser: Microsoft Internet Explorer 7.0 or higher , Mozilla Firefox , Google Chrome , Safari 6.0 and earlier , Android standard browser
  • Print as many copies as you need
  • Legal forms created by attorneys
  • This website provides legal forms only. We do not provide legal advice. Proper filing and service of documents and payment of related notary, court and filing fees are your responsibility. The legal documents offered from the web site are intended to be used within thirty (30) days from the time of purchase.
  • Valid for every state
  • The legal documents offered from the web site are intended to be used within thirty (30) days from the time of purchase.
  • Valid for every state.
Specifications
Legal Form Class Small Business
Legal Form Type HR/Personnel
Digital or Preprinted Form Digital Form
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