Sample Completed SBC-Individual Health Insurance Coverage

2715_Deliberative_Document[(20120207).docx

Affordable Care Act Section 2715 Summary Disclosures

Sample Completed SBC-Individual Health Insurance Coverage

OMB: 1210-0147

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Deliberative Material—This Page Intentionally Left Blank.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleThis is a deliberative document for the 2715 SRG Omnibus
AuthorButikofer, James - EBSA
File Modified0000-00-00
File Created2021-01-31

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