Form INS5028 Renewal Application for a Small Employer Health Care Alliance Certificate of Authority - Ohio

Form INS5028 Renewal Application for a Small Employer Health Care Alliance Certificate of Authority - Ohio

What Is Form INS5028?

This is a legal form that was released by the Ohio Department of Insurance - 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 INS5028?A: Form INS5028 is the Renewal Application for a Small Employer Health Care Alliance Certificate of Authority in Ohio.

Q: Who should use Form INS5028?A: Small employer health care alliances in Ohio should use Form INS5028 for their certificate of authority renewal.

Q: What is the purpose of Form INS5028?A: The purpose of Form INS5028 is to renew the certificate of authority for a small employer health care alliance in Ohio.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Ohio Department of Insurance;
  • 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 INS5028 by clicking the link below or browse more documents and templates provided by the Ohio Department of Insurance.

Download Form INS5028 Renewal Application for a Small Employer Health Care Alliance Certificate of Authority - Ohio

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