My Health, My Choice, Option 3 Absentee Shawnee Tribal Health System

NATIVE AMERICAN EXEMPTION FROM AFFORDABLE CARE ACT IF YOU DO NOT HAVE MINIMUM ESSENTIAL COVERAGE AND DO NOT QUALIFY FOR SOONERCARE, TRIBAL MEMBERS AND DESCENDANTS CAN APPLY FOR THE NATIVE AMERICAN EXEMPTION TO RECEIVE YOUR NATIVE AMERICAN EXEMPTION NUMBER AND AVOID THE INDIVIDUAL SHARED RESPONSIBILITY PAYMENT. To apply for the exemption: A) Obtain an application here or contact a Patient Benefit Advocate in LA or Shawnee B) Complete the application and mail in with a copy of your AST enrollment card.

Absentee Shawnee Tribal Health System

It is for collectible purposes only. THIS PATCH IS FOR DISPLAY PURPOSES ONLY.

OKLAHOMA, ABSENTEE SHAWNEE TRIBE LI-SI-WI-NWI TRIBAL POLICE SECURITY PATCH

Absentee Shawnee Tribal Health System, Page 7

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February 2012 - Absentee Shawnee Tribe Of Oklahoma

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My Health, My Choice, Option 1 Absentee Shawnee Tribal Health System

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Absentee Shawnee Tribal Health System

Absentee Shawnee Tribal Health System