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Life and Health Policy Forms

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Form #: Fast Track HDHP This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2008
Title: Fast Track HDHP Electronic Filings
Fast Track HDHP Electronic Filings

Form #: General Filings and Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2011
Title: General Filing Instructions Highlights and Hints For Policy Form and Rate Filings
General Filing Instructions Highlights and Hints For Policy Form and Rate Filings

Form #: GHBAS-1 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 1998
Title: Assignment System Managed Care Policy Form Template (GHBAS-1)
Pre Certification Requirement for Assignment System Managed Care Policy.

Form #: GHBAS-S This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 1998
Title: Assignment System Managed Care Schedule of Benefits (GHBAS-S)
Georgia Department of Insurance Managed Care Schedule of Benefits Summary.

Form #: GHIAS-1 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 1998
Title: Assignment System Indemnity Policy Form Template Plan A (GHIAS-1)
Indemnity Pre Certification requirements.

Form #: GHIAS-2 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 1998
Title: Assignment System Indemnity Policy Form Template Plan B (GHIAS-2)
Assignment System Indemnity Policy Form Template Plan B (GHIAS-2)

Form #: GHIAS-S This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 1998
Title: Assignment System Indemnity Schedule of Benefits (GHIAS-S)
Assignment System Indemnity Schedule of Benefits

Form #: GID-PPA1 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2011
Title: Patient Protection Act Application for Certification
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: Insurance Policy Form, Advertising or Rate Filing Fees This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2011
Title: Insurance Policy Form, Advertising or Rate Filing Fees
Insurance Policy Form, Advertising or Rate Filing Fees

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