Form ODM03748 Certificate of Group Health Plan Coverage - Ohio

Form ODM03748 Certificate of Group Health Plan Coverage - Ohio

What Is Form ODM03748?

This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form ODM03748?
A: Form ODM03748 is the Certificate of Group Health Plan Coverage specific to Ohio.

Q: What is a Certificate of Group Health Plan Coverage?
A: A Certificate of Group Health Plan Coverage is a document that provides information about an individual's health insurance coverage under a group health plan.

Q: Who needs to complete Form ODM03748?
A: This form needs to be completed by individuals who are covered under a group health plan in Ohio and need to provide proof of coverage.

Q: What information is included in Form ODM03748?
A: Form ODM03748 includes details about the health plan, the covered individual, and the coverage period.

Q: Are there any fees for obtaining Form ODM03748?
A: No, there are no fees for obtaining Form ODM03748.

Q: How do I fill out Form ODM03748?
A: You need to provide accurate and complete information about the health plan, the covered individual, and the coverage period.

Q: Is Form ODM03748 mandatory?
A: The requirement for Form ODM03748 may vary depending on the specific situation, so it is best to check with the entity that requires the certificate.

Q: Can I use Form ODM03748 as proof of health insurance coverage?
A: Yes, Form ODM03748 can be used as proof of health insurance coverage under a group health plan in Ohio.

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Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Ohio Department of Medicaid;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ODM03748 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM03748 Certificate of Group Health Plan Coverage - Ohio

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