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Section 13, Part B.1 - Other Type of Insurance - Detailed Questions - FOR NEW HOUSEHOLDS ONLYSection 13, Part B.1 collects detailed information on non-health insurance policies other than long term insurance, homeowners' insurance, life insurance, renters' insurance, or vehicle insurance reported in Part A.2.For definitions Information Booklet » What is the name of the insurance company for "your (1st, 2nd, 3rd)"
other type of insurance policy? [enter text] ____________________ Briefly describe the other type of non-health insurance policy? [enter text] ______________ Are the policy premiums paid -
Are any premiums paid through payroll deductions? Since the first of the reference month, what was your or your household total expense for this insurance policy? [enter value] ______________ * Enter the actual amount the household paid. Do not include any expenses paid for the household by others How much was paid this month? [enter value] ______________ * Enter 'C' for a combined expense What other type of policy is the "other type of non-health insurance" combined with?
Which property (ies) does this policy cover? [enter text] ______________ Do you or any members of your household have any or make payments for any other "other type of non-health insurance" policy? End of Section 13B Other Type of Insurance Go back to Section 13 Part B.1 - Insurance Other Than Health - Detailed Questions - FOR NEW HOUSEHOLDS ONLY » Go to Section 14 Part A.1 - Hospitalization and Health Insurance » Go to CAPI Home Page »
Last Modified Date: April 5, 2010 |