Form DHAS-34 Renewal Application for Participation in the Health Insurance Continuation Program - New Jersey

Form DHAS-34 Renewal Application for Participation in the Health Insurance Continuation Program - New Jersey

What Is Form DHAS-34?

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

FAQ

Q: What is Form DHAS-34?
A: Form DHAS-34 is the Renewal Application for Participation in the Health Insurance Continuation Program in New Jersey.

Q: Who uses Form DHAS-34?
A: This form is used by individuals who need to renew their participation in the Health Insurance Continuation Program in New Jersey.

Q: What is the Health Insurance Continuation Program?
A: The Health Insurance Continuation Program is a program in New Jersey that allows certain individuals to continue having health insurance coverage.

Q: What information do I need to provide on Form DHAS-34?
A: You will need to provide personal information, such as your name, address, and contact information, as well as information about your current health insurance coverage.

Q: When do I need to submit Form DHAS-34?
A: You need to submit Form DHAS-34 before the expiration date of your current health insurance continuation coverage.

Q: Are there any fees or costs associated with Form DHAS-34?
A: No, there are no fees or costs associated with submitting Form DHAS-34.

Q: How long does it take to process Form DHAS-34?
A: The processing time for Form DHAS-34 may vary, but it is typically processed within a few weeks.

Q: What should I do if I have additional questions about Form DHAS-34?
A: If you have additional questions about Form DHAS-34 or the Health Insurance Continuation Program, you should contact the New Jersey Department of Human Services for assistance.

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Form Details:

  • Released on March 1, 2014;
  • The latest edition provided by the New Jersey Department of Health;
  • 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 printable version of Form DHAS-34 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form DHAS-34 Renewal Application for Participation in the Health Insurance Continuation Program - New Jersey

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