1.
CERTIFICATE OF GROUP HEALTH PLAN COVERAGE
File Format: PDF/Adobe Acrobat - View as HTML CERTIFICATE OF GROUP HEALTH PLAN COVERAGE. Important - This certificate provides evidence of your prior health coverage. You may need ...
2.
Model COBRA Continuation Coverage Election Notice (For use by ...
File Format: PDF/Adobe Acrobat - View as HTML COBRA Continuation Coverage Election Form. I (We) elect COBRA continuation coverage in the [enter name of plan] (the Plan) as indicated ...
3.
Powers-Leavitt Insurance Agency
2009 Powers-Leavitt Insurance Agency, Inc. A member of the Leavitt Group.
4.
Powers-Leavitt Insurance Agency
2009 Powers-Leavitt Insurance Agency, Inc. A member of the Leavitt Group.
5.
Important Notice from [Insert Name of Entity] About Your ...
File Format: PDF/Adobe Acrobat - View as HTML and about your options under Medicare’s prescription drug coverage. This ... Medicare prescription drug coverage became available in 2006 to everyone with ...
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Powers-Leavitt Insurance Agency
2009 Powers-Leavitt Insurance Agency, Inc. A member of the Leavitt Group.
7.
Powers-Leavitt Insurance Agency
2009 Powers-Leavitt Insurance Agency, Inc. A member of the Leavitt Group.
8.
Powers-Leavitt Insurance Agency
2009 Powers-Leavitt Insurance Agency, Inc. A member of the Leavitt Group.
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