The Monthly HCTC
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complete the
registration form
To apply for the monthly HCTC, complete and mail
the Registration Form that came with this Program
Kit. The HCTC Program will review it and enroll you,
if you are eligible.
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You receive an HCTC invoice, and send 20% of your
health insurance premium to the HCTC Program by
the due date each month.
you pay 20%
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The HCTC Program adds 80% to your payment.
HCTC
HCTC adds 80%
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The HCTC Program sends a payment for 100% of your
premium to your health plan.
your health plan
receives 100%
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