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HI 00805: Supplementary Medical Insurance Entitlement

Effective Dates: 06/06/2018 - Present

TN 29 (10-17)

A. Exhibit of domestic initial enrollment period (IEP) package welcome letter

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The domestic IEP package brochure is described in subsection HI 00805.125B.1.b.

B. Exhibit of Puerto Rico IEP package welcome letter and brochure

The Puerto Rico IEP package welcome letter and brochure is described in subsection HI 00805.125C.1.a.

C. Exhibit of Puerto Rico IEP package welcome letter in English back-translation

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D. Exhibit of foreign IEP package welcome letter and brochure

The foreign IEP package welcome letter and brochure is described in subsection HI 00805.125D.1.a.

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