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Please, fill the form in less than a minute. Your connection will be secured. All information we collect is strictly confidential. Some useful information about insurances, policies and programs:In most cases, you should get a certificate of creditable coverage when you leave a health plan. You also can request certificates at other times. If you cannot get one, you can submit other proof of prior coverage, such as old health plan ID cards or statements from your doctor showing bills paid by your health insurance plan. Designate a contact person or secondary payer if you should forget to pay your premium in order to avoid unnecessary cancellation of your policy. |