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Home
About Us
Services
Careers
Customers
Contact Us
Employees
COVID-19
Home
About Us
Services
Careers
Customers
Contact Us
Employees
COVID-19
Employee Documents
Enrollment Form
(pdf)
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ASCII Groups LLC - Premium Conversion Election Form and Salary Reduction Agreement
(pdf)
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ASCII Groups LLC - (POP) Summary Plan Description(SPD)
(pdf)
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COBRA General Notice
(pdf)
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Marketplace model notice
(pdf)
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HIPAA Notice of Special Enrollment Rights
(pdf)
Download
HIPAA Notice of Privacy Practices (NPP)
(pdf)
Download
CHIPRA Model Notice
(pdf)
Download
Medicare Part D Model Notice - for 60+
(pdf)
Download
Model WHCRA Enrollment Notices
(pdf)
Download
Patient Protection Model Notice
(pdf)
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