Pennie Self Attestation Form
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Web example forms to help states and other jurisdictions quickly implement impactful programs, treasury has provided examples of simplified eligibility forms below that are being used. If you need additional assistance, please reach out. Pennie uses an income number called modified adjusted gross income (magi) to determine eligibility for financial assistance. Web this form is for pennie applicants who are.
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Pennie Uses An Income Number Called Modified Adjusted Gross Income (Magi) To Determine Eligibility For Financial Assistance.
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