Form 6A - Connecticut
CONNECTICUT HEALTH INSURANCE EXCHANGE. NONDISCRIMINATION CERTIFICATION – Affidavit by Entity. For Contracts Valued at $50,000 or More Documentation in the form of an affidavit signed under penalty of false statement by a chief executive officer, president, chairperson, member, or other corporate officer duly authorized to adopt corporate, company, or partnership policy that certifies … ................
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