Va. Admin. Code tit. 14, agency 5, ch. 415, form FORMS (14VAC5-415)

Current through Register Vol. 41, No. 2, September 9, 2024

Form - FORMS (14VAC5-415)

MEWA Attestation R21 (eff. 5/2023)

Self-Funded MEWA Application SCCBOI153 (eff. 5/2023)

Va. Admin. Code tit. 14, agency 5, ch. 415, form FORMS (14VAC5-415)

Derived From Virginia Register Volume 39, Issue 18, eff. 5/1/2023.

Statutory Authority: §§ 12.1-13, 38.2-223, and 38.2-3420 of the Code of Virginia.