Information for Alternative Method of Counting Creditable Coverage

This form is used by an entity to request additional information to determine an individual's coverage with respect to a category of benefits. (more...)

Download: Information for Alternative Method of Counting Creditable Coverage

Available from: USLegalForms.com

SKU: US-334EM

NOTICE: The information and links contained on this web page are intended only to be merely informative and are NOT intended to provide legal advice to any person/entity. Consult with and seek the advice of a qualified lawyer. E.&O.E. Click here for important legal disclaimer.