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Form INS5028 Renewal Application for a Small Employer Health Care Alliance Certificate of Authority - Ohio
What Is Form INS5028?
This is a legal form that was released by the Ohio Department of Insurance - 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 INS5028?
A: Form INS5028 is the Renewal Application for a Small Employer Health Care Alliance Certificate of Authority in Ohio.
Q: Who should use Form INS5028?
A: Small employer health care alliances in Ohio should use Form INS5028 for their certificate of authority renewal.
Q: What is the purpose of Form INS5028?
A: The purpose of Form INS5028 is to renew the certificate of authority for a small employer health care alliance in Ohio.
Form Details:
- Released on January 1, 2019;
- The latest edition provided by the Ohio Department of Insurance;
- 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 INS5028 by clicking the link below or browse more documents and templates provided by the Ohio Department of Insurance.
Download Form INS5028 Renewal Application for a Small Employer Health Care Alliance Certificate of Authority - Ohio
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