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Company Admissions

Managed Care

Multiple Employer Welfare Arrangement

All Forms

APPLICATION FOR CERTIFICATE OF AUTHORITY MULTIPLE EMPLOYER WELFARE ARRANGEMENT PACKAGE

OIR-C1-983

APPLICATION FOR CERTIFICATE OF AUTHORITY MULTIPLE EMPLOYER WELFARE ARRANGEMENT

OIR-C1-1298

MANAGEMENT INFORMATION FORM COMPLETE LISTING OF INCORPORATORS, OFFICERS DIRECTORS, AND SHAREHOLDERS (10% OR MORE)

OIR-C1-1423

BIOGRAPHICAL STATEMENT AND AFFIDAVIT

OIR-C1-905

INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS

OIR-C1-938

FINGERPRINT CARD INSTRUCTIONS