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Arizona Notice of Your Rights About Health Insurance Coverage

State:
Arizona
Control #:
AZ-804D
Format:
Word; 
Rich Text
Instant download
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Public form

Description

Notice of Your Rights About Health Insurance Coverage: This form contains information for your spouse regarding continued health insurance coverage during and after the dissolution of marriage proceeding. The Notice of Right to Convert Health Insurance is a form which notifies the parties to the dissoution of marriage of the health insurance consequences of the divorce. This is sent to prepare both spouses for any changes in health care providers which may be altered in some way due to the divorce proceedings.

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Arizona Notice of Your Rights About Health Insurance Coverage