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Maryland Request for Waiver of Prepaid Costs (Bilingual - Russian Format)

State:
Maryland
Control #:
MD-SKU-0380
Format:
PDF
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Description

Request for Waiver of Prepaid Costs (Bilingual - Russian Format)

Maryland Request for Waiver of Prepaid Costs (Bilingual — Russian Format) is a form used by non-English speaking individuals in the state of Maryland to apply for a waiver of any prepaid costs associated with their purchase of a health insurance plan. This form is available in both English and Russian languages, making it accessible to a wider range of applicants. It requires the applicant to provide personal information such as name, address, and contact information, as well as details of the policy they are seeking to purchase. The form also requires the applicant to declare if they are eligible for any state or federal assistance programs, such as Medicaid, Medicare, or CHIP. The applicant must also provide proof of their financial need and provide documentation that they are unable to pay the full cost of the health insurance policy. The Maryland Request for Waiver of Prepaid Costs (Bilingual — Russian Format) form is an important resource for individuals who do not speak English and are in need of health insurance coverage. It provides an opportunity for these individuals to access the same coverage options as those who speak English, and ensures that they are not financially disadvantaged when purchasing a policy. Types of Maryland Request for Waiver of Prepaid Costs (Bilingual — Russian Format) include— - Individual Waiver Request Form — Family Waiver Request For— - Business Waiver Request Form — Non-Profit WaiveRequestorrrrrrrrrrm.rm

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Maryland Request for Waiver of Prepaid Costs (Bilingual - Russian Format)