Cms-10182-nc Model Individual Non-creditable Coverage Disclosure Noti

Model Creditable Coverage Disclosure Notices

~$.21.08 PRA Non-CC disclosure Updated for 05 15 08

Model Creditable Coverage Disclosure Notices (CMS-10182)

OMB: 0938-0990

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0990 can be found here:

2008-10-29 - Revision of a currently approved collection

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