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.
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.
Form Details:
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.