PDF
Word
Form 2961-EG Application for Health Insurance - Additional Member - Nevada
What Is Form 2961-EG?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 2961-EG?A: Form 2961-EG is an application for health insurance.
Q: Who can use Form 2961-EG?A: This form is for individuals applying for health insurance as an additional member in Nevada.
Q: What is the purpose of Form 2961-EG?A: The form is used to add a new member to an existing health insurance plan.
Q: What information do I need to provide on Form 2961-EG?A: You will need to provide your personal information, including your name, address, social security number, and other relevant details.
Form Details:
- Released on September 1, 2014;
- The latest edition provided by the Nevada Department of Health and Human Services;
- 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 2961-EG by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
Download Form 2961-EG Application for Health Insurance - Additional Member - Nevada
1
2
3
