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Va 10-7959c ohi certification Form: What You Should Know

GENERAL DEFINITIONS Medical and treatment expenses. Income received from premiums, compensation, pensions and end-of-career payments. General expenses incurred before you became a CHAMPION. Income from retirement (including after retirement benefits). Retirement income must be reported in the year of withdrawal. Amount that you deducted if paid as an employee cost of insurance. Insurance paid by the VA. Amount of premiums, compensation paid as a lump sum to an employee (payable in full to you) if you are not entitled to a pension. Income if you receive a benefit from the United States to use for nonhealth care purposes. Miscellaneous items. Include income earned from personal property or from any source in which you have a share. CHAM PVA Other Health Insurance (OHI) Certification CHAM PVA Other Health Insurance OHI Certification Section II: REQUIREMENTS — AVAILABILITY REQUIREMENTS — EXCEPTION — PAYMENT AND INSURANCE REQUIREMENTS — INSPECTION REQUIREMENTS — INSURANCE COVERAGE, PAYMENTS AND COSTS — DEFINITIONS — SECTION III: CLASSIFICATION — CLASSIFICATION OF BENEFICIARIES — EXCEPTION — BONUS ARREARS — INDUSTRY CLASSIFICATIONS — FLEXIBLE CREDITS — INPUTS — CASH INPUTS — INCOME SUBMITters — CHAM PVA Other Health Insurance (OHI) Certification CHAM PVA Other Health Insurance (OHI) Certification CHAM PVA Other Health Insurance (OHI) Certification CHAM PVA Other Health Insurance OHI Certification CHAM PVA Other Health Insurance (OHI) Certification Section IV: OTHER DOCUMENTS — PROHIBITION AGAINST CASH REPS FROM INSURANCE OFFER ERS AND GIVING REVIEWS — BENEFICIAL INFORMATION FOR PAYMENTS TO A BANK OR SWIFT — BENEFITS NOT CURRENTLY SUBJECT TO THE TAXES APPLICABLE TO VETERANS — CHAMPIONSHIP DATES AND RE-CHAMPIONS FOR VETERANS — CHAMPIONS MAY USE OTHER WAGES AT TIME OF DUTY.

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