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1851. Preferred Provider Network License Application - Connecticut

  INSTRUCTIONS: CONNECTICUT PREFERRED PROVIDER NETWORK (PPN) LICENSE INSTRUCTIONS AND APPLICATION (INITIAL)     To apply for an initial license to act as a Connecticut preferred provider network (PPN), use the form discussed i ...

1853. Pharmacy Benefits Manager (PBM) Renewal Application for a Certificate of Registration - Connecticut

INSTRUCTIONS: CONNECTICUT PHARMACY BENEFITS MANAGER (PBM) CERTIFICATE OF REGISTRATION (RENEWAL)     To apply for a renewal of your registration certificate as a Connecticut pharmacy benefits manager (PBM), use the document discussed in ...

1854. Pharmacy Benefits Manager (PBM) Initial Application for a Certificate of Registration - Connecticut

  INSTRUCTIONS: CONNECTICUT PHARMACY BENEFITS MANAGER (PBM) CERTIFICATE OF REGISTRATION (INITIAL)     To apply for an initial certificate of registration as a pharmacy benefits manager (PBM) in Connecticut, use the form discus ...

1855. Medical Discount Plan License Renewal - Connecticut

  INSTRUCTIONS: CONNECTICUT MEDICAL DISCOUNT PLAN (MDP) LICENSE RENEWAL      To apply for a renewal of a Connecticut medical discount plan (MDP) license, use the form discussed in this article. This document can be obtain ...

1856. Medical Discount Plan License Application - Connecticut

  INSTRUCTIONS: CONNECTICUT MEDICAL DISCOUNT PLAN (MDP) LICENSE APPLICATION     To apply for a medical discount plan (MDP) license in Connecticut, use the form discussed in this article. This document can be obtained from the ...

1857. Life Settlement Provider Renewal Application - Connecticut

  INSTRUCTIONS: CONNECTICUT LIFE SETTLEMENT PROVIDER RENEWAL APPLICATION     To renew your license to act as a Connecticut life settlement provider, use the form discussed in this article. This document can be obtained from th ...

1858. Life Settlement Provider Application - Connecticut

  INSTRUCTIONS: CONNECTICUT APPLICATION FOR LIFE SETTLEMENT PROVIDER LICENSE     To apply for a life settlement provider license in Connecticut, use the form discussed in this article. This document can be obtained from the we ...

1859. Life Settlement Broker Biographical Affidavit - Connecticut

  INSTRUCTIONS: CONNECTICUT INDIVIDUAL LIFE SETTLEMENT BROKER AFFIDAVIT     Every individual who will act as as a life settlement broker in Connecticut on behalf of a form must complete the affidavit discussed in this article. ...

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