This certificate provides evidence of your prior health coverage. You may need to furnish this certificate if you become eligible under a group health plan that excludes coverage for certain medical conditions that you have before you enroll. This certificate may need to be provided if medical advice, diagnosis, care, or treatment was recommended or received for the condition within the 6-month period prior to your enrollment in the new plan. If you become covered under another group health plan, check with the plan administrator to see if you need to provide this certificate. You may also need this certificate to buy, for yourself or your family, an insurance policy that does not exclude coverage for medical conditions that are present before you enroll.
Our online questionnaires create language for your situation based on your answers. That's why we call them SmartLegalForms®.
This is an Interactive Form. You will be able to access the form by clicking on the link in the email that is sent to you immediately after purchase. You will then complete an easy-to-use on-line questionnaire and generate a state-specific legal form that fits your circumstances. You can take as long as you need and access the questionnaire as many times as necessary.
This product includes:
- 100% SmartLegalForms Guarantee
- Ability to print your legal form instantly after document assembly
- Step-by-step instructions, in addition to your assembled form, to help you file or execute your documents correctly
- Ability to edit your legal form at any time
- Automated checks of your data entries
- Help screens to help you answer every question correctly
- The ability to purchase legal advice from our network of virtual law firms for a modest fee
- Free legal information and technical assistance by email or telephone
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