HIOS/Issuer 10 ID words. Corporate 10 Office words. Address City 10 State 10 Zip Code 10 Primary 10 Contact words. Name Contact Title 10 words. Contact 10 Phone words. Number Contact 10 Email words. Applicant Single, Eligibility list. 1: CCSB Market Contracted in 2019, 2: Individual Market Place Contracted in 2019, 3: New Entrant Applicant Indicate if Single, Applicant has completed the Qualified list. Health Plan 1: Yes, CCSB Application application Plan Year completed, 2019 2: Yes, Individual Individual
HIOS/Issuer ID 10 words. Corporate Office Address 10 words. City 10 State 10 Zip Code 10 Primary Contact Name 10 words. Contact Title 10 words. Contact Phone Number 10 words. Contact Email 10 words. Applicant Eligibility Single, list. 1: CCSB Market Contracted in 2019, 2: Individual Market Place Contracted in 2019, 3: New Entrant Applicant Indicate if Applicant has completed the Qualified Health Plan Application Plan Year 2019 Individual Single, list. 1: Yes, CCSB application completed, 2: Yes, Individual
CCSB%20QHP%20Certification%20Application%20Plan%20Year%202019%20Quarterly%20Application_Final.docx