ࡱ>  @ Xbjbj5*5* W@W@F+dwww8,x| ʞ(9|$RF"v#~~~ ~~~6/6k hw 0 +@""8k"kur~ê!uuuekd hk STATE OF SOUTH CAROLINA DEPARTMENT OF CONSUMER AFFAIRS DISCOUNT MEDICAL PLAN ORGANIZATIONS S.C. Code Ann. 37-17-10 et seq.  HYPERLINK "http://www.state.sc.us/consumer" www.scconsumer.gov (803) 734-4200 Discount Medical Plan Organization Authorized Representative List (Please type or print in black ink) Please provide the information requested below for ALL representatives authorized to market your discount medical plans. If additional space is needed, use additional copies of page 5, or provide the same information requested below in a self-generated report The South Carolina Freedom of Information Act may require the Department of Consumer Affairs to release this form as a public record; however personal identifying information will be released only if required by law. #Representative NameCity/State Marketer Company1 FORMTEXT       FORMTEXT       FORMTEXT      2 FORMTEXT       FORMTEXT       FORMTEXT      3 FORMTEXT       FORMTEXT       FORMTEXT      4 FORMTEXT       FORMTEXT       FORMTEXT      5 FORMTEXT       FORMTEXT       FORMTEXT      6 FORMTEXT       FORMTEXT       FORMTEXT      7 FORMTEXT       FORMTEXT       FORMTEXT      8 FORMTEXT       FORMTEXT       FORMTEXT      9 FORMTEXT       FORMTEXT       FORMTEXT      10 FORMTEXT       FORMTEXT       FORMTEXT      11 FORMTEXT       FORMTEXT       FORMTEXT      12 FORMTEXT       FORMTEXT       FORMTEXT      13 FORMTEXT       FORMTEXT       FORMTEXT  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FORMTEXT       FORMTEXT       FORMTEXT      107 FORMTEXT       FORMTEXT       FORMTEXT      108 FORMTEXT       FORMTEXT       FORMTEXT      109 FORMTEXT       FORMTEXT       FORMTEXT      110 FORMTEXT       FORMTEXT       FORMTEXT       #Representative NameCity/State Marketer Company FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Affidavit of Applicant I swear or affirm and certify that I have completed and/or reviewed all information on this form, and to the best of my knowledge and belief, all information contained herein is true, correct and complete; and that there are no material omissions of fact which would have a bearing upon the South Carolina Department of Consumer Affairs decision to grant the requested registration certificate. I further certify that I understand that giving false information constitutes cause for denial or revocation of the application and subjects me to criminal prosecution for perjury. I acknowledge that I have a duty and agree to update and correct this information as it changes.  Signature FORMTEXT      Date FORMTEXT      Type or Print your name and Title  SWORN TO AND SUBSCRIBED before me this ________ day of _____________________, 20______ ________________________________________________ (SEAL) Notary Public For __________________________________ My Commission Expires: _____________________________ Authorized Representative List SCDCA Form DMPO-05 Revised 11/07 Page  PAGE 6 of  NUMPAGES 6 Street Address 3600 Forest Drive Columbia, SC 29204-4006 Mailing Address P.O. Box 5757 Columbia, SC 29250-5246 Street Address 3600 Forest Drive Columbia, SC 29204-4006 Mailing Address P.O. 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