• US Legal Forms

Health Coverage Portability

State:
Multi-State
Control #:
US-AHI-010
Format:
Word
Instant download

Description Certificate Hipaa Form

This AHI form is a certificate of group health plan coverage. This form is evidence that the employee is covered under the group health care plan.
Free preview Certificate Group Health Coverage
  • Form preview
  • Form preview

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Health Coverage Portability