Form ODM03748 Certificate of Group Health Plan Coverage - Ohio

Form ODM03748 Certificate of Group Health Plan Coverage - Ohio

What Is Form ODM03748?

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

FAQ

Q: What is Form ODM03748?A: Form ODM03748 is the Certificate of Group Health Plan Coverage specific to Ohio.

Q: What is a Certificate of Group Health Plan Coverage?A: A Certificate of Group Health Plan Coverage is a document that provides information about an individual's health insurance coverage under a group health plan.

Q: Who needs to complete Form ODM03748?A: This form needs to be completed by individuals who are covered under a group health plan in Ohio and need to provide proof of coverage.

Q: What information is included in Form ODM03748?A: Form ODM03748 includes details about the health plan, the covered individual, and the coverage period.

Q: Are there any fees for obtaining Form ODM03748?A: No, there are no fees for obtaining Form ODM03748.

Q: How do I fill out Form ODM03748?A: You need to provide accurate and complete information about the health plan, the covered individual, and the coverage period.

Q: Is Form ODM03748 mandatory?A: The requirement for Form ODM03748 may vary depending on the specific situation, so it is best to check with the entity that requires the certificate.

Q: Can I use Form ODM03748 as proof of health insurance coverage?A: Yes, Form ODM03748 can be used as proof of health insurance coverage under a group health plan in Ohio.

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Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Ohio Department of Medicaid;
  • 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 ODM03748 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM03748 Certificate of Group Health Plan Coverage - Ohio

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