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Get NY DOH-4220 2003

S, “Does anyone who is applying have Medicare?” The remainder of the questions have been renumbered, and the last question, now question 5, has been reworded as follows: “In the past 6 months, has anyone who is applying lost or cancelled any type of health insurance that was provided through an employer?” Page 3: • Section E: “List type” has been expanded to read, “List type of income/employer name.” A separate question has been added, which asks, “Does your employer offer .

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