PDF-State Partnership Exchange Issuer Program Attestation Response Form

Version 1 4 2019 Qx480049004AP Application Instructions Optional Program AttestationsInstructionsx3A003B The following attestation is optional CMS strongly encourages

applicant x480049004a ecp plan x480049004a applicant plan ecp attestations program medical required x280029 issuers compliance applicants applicable issuer attestation

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