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Request for Additional Information Instructions Call the EPIC ...

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4.9 out of 5

28 votes

The document is a Request for Additional Information form required to maintain EPIC coverage. It includes instructions for completing the form based on marital status, income, and assets. The form requires detailed reporting of monthly income, assets excluding personal possessions, and information about dependents. It also provides guidance for individuals who are single or married and living together, along with a helpline number for assistance.

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Versions	Form popularity	Fillable & printable
2017	4.9 Satisfied (28 Votes)
2010	4 Satisfied (20 Votes)

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