Employers use this form to provide proof to the employee of health coverage as required by HIPPA.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.Burbank California Certificación de Cobertura del Plan de Salud de Grupo - California Certification of Group Health Plan Coverage
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How to fill out California Certificación De Cobertura Del Plan De Salud De Grupo?
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