Affidavit of Adult Dependent Eligibility (PPACA)
Affidavit of Domestic Partnership and three (3) types of supporting documentation as outlined on Page 1 of the affidavit located online under Benefit Forms. Proof of Adult Dependent Relationship (up to age 26) (medical only per Patient Protection and Affordable Care Act (PPACA)) Provide documentation for Proof of Parent-Child Relationship… ................
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