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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 21TRADE PRACTICES
SUBCHAPTER KCERTIFICATION OF CREDITABLE COVERAGE
RULE §21.1110Form CCC
Texas Register
(a) Form CCC relating to Insurance Code, Article 21.52G for certification and disclosure of coverage under a health benefit plan is included in subsection (b) of this section in its entirety and has been filed with the Office of the Secretary of State. The figure can be obtained from the Texas Department of Insurance, Life/Health Group, MC 106-1A, P.O. Box 149104, Austin, Texas 78714-9104.

(b) Form CCC referenced in this subchapter is as follows.

Attached Graphic
Source Note: The provisions of this §21.1110 adopted to be effective December 22, 1997, 22 TexReg 12513.

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