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Eligibility Requests

*Effective 07/19/2024

Official Procedure

The following is your official procedure for making Eligibility Requests should you require to do so.

Please do not combine multiple members in a single request.
Each request must contain 1 member at a time. Do not provide SSN unless IEHP ID is unavailable.

Copy/Paste Box Below:

To: reception@joinccc.org

Subject: Eligibility Request

Good Morning/Afternoon,

Requesting Eligibility status for the following member at your earliest convenience:

Member Name: Michael Scott

Member ID: 20000000000000

Member SSN (If NO Member ID):

*Effective 07/19/2024
Official Procedure