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Hlth 167 v4 rev 2014 10 15

2014 167 enrolment-2025

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The document is an application form for group enrolment in the Medical Services Plan (MSP) in British Columbia, Canada. It outlines the requirements for residents to enroll themselves and their family members, including necessary identification and residency information. The form collects personal details of the applicant, spouse, and children, and includes sections on citizenship status, previous MSP coverage, and authorization for information verification. Important information regarding eligibility, effective dates of benefits, and procedures for changes in residency or name is also provided.

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