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Self-certification Form - Religious objection to providing contraceptive services (To be used for plan years beginning on or after January 1, 2014)
Guidance for certification that the health coverage established or maintained or arranged by the organization qualifies for an accommodation with respect to the federal requirement to cover certain contraceptive services without cost sharing.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 28, 2013
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.