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Qualifying Event Forms Files

Diabetes Qualifying Form

Diabetes Qualifying Form - For Newly Diagnosed/New Enrollees

Diabetes Qualifying Log Form (A1C 9.0 or above)

EREQ Instructions

QE FAQ

QE Packet Qualifying Event Instructions

Retiree Qualifying Event Instructions

Wellness Exam Form - Child

Wellness Exam Form - Female

Wellness Exam Form - Male

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