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Company Admissions

Managed Care

Prepaid Limited Health Service Organization

ALL FORMS

APPLICATION FOR CERTIFICATE OF AUTHORITY PREPAID LIMITED HEALTH SERVICE ORGANIZATION APPLICATION PACKAGE

OIR-C1-1119

APPLICATION FOR CERTIFICATE OF AUTHORITY PREPAID LIMITED HEALTH SERVICE ORGANIZATION

OIR-C1-905

INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS

OIR-C1-938

FINGERPRINT CARD INSTRUCTIONS

OIR-C1-1423

BIOGRAPHICAL AFFIDAVIT