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HEALTH INSURANCE PREMIUM PAYMENT HIPP for Kids HFK PROGRAM  Form

HEALTH INSURANCE PREMIUM PAYMENT HIPP for Kids HFK PROGRAM Form

Use a HEALTH INSURANCE PREMIUM PAYMENT HIPP For Kids HFK PROGRAM 0 template to make your document workflow more streamlined.

Supply store etc. Service date refers to dates service was PROVIDED or available for pickup not the date you paid or were charged for it Please be advised that the preferred method for submission of documentation to the HIPP unit is by Emailing scanned documents to the HIPPcustomerservice dmas. Expense documentation received after the 5th deadline will not be processed until the next month. ExampleVerification received November 20th any payment due will be issued January 17th instead of...
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