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Get GAHP Duluth Continuation Of Coverage Form - Shb Umn

S below 25%, you leave your appointment, or your appointment, fellowship, or traineeship ends), plan members have the option to continue coverage for up to 18 months at their own expense. To request continuation, please complete and return this form to the Office of Student Health Benefits within 60 days of loss of coverage. For more information on this option, contact the Office of Student Health Benefits. Please keep a copy of this form for your records.

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