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District of Columbia Group Medical Questionnaire - Aetna District of Columbia Group Medical Question

District of Columbia Group Medical Questionnaire - Aetna District of Columbia Group Medical Question 2025

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The document is a Group Medical Questionnaire for the District of Columbia, intended to be completed by an Employer/Owner or Authorized Company Officer. It collects health-related information about employees and their dependents enrolling in a group insurance plan, including past illnesses, disabilities, hospitalizations, and specific medical conditions. The form emphasizes the importance of accurate information for insurance coverage and outlines potential consequences for misrepresentation.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'Group Name' at the top of the form. This identifies your organization and is essential for processing.
Proceed to answer the questions regarding employee health history. For each question, select 'Yes' or 'No' based on your knowledge of all enrollees, including dependents.
If any questions require additional details (e.g., hospitalization or surgeries), provide comprehensive information in the designated sections, ensuring accuracy.
Complete the certification section at the end of the form. The Employer/Owner/Officer must sign and date it, confirming that all information is accurate.
Finally, review all entries for completeness before submitting. Use our platform’s features to save and share your completed form easily.

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