Dhs 6155 Health Insurance Questionnaire. 10/ services (dhcs) will stop accepting the paper hiq form (dhs ) effective immediately. The health insurance company offers a.
Departments use private health insurance questionnaire dhs 6155 form and ssa uses the tpl. 1 davis drive floor 2 belmont, ca 94002 get directions. Dhs 6155 (2/00) page 1 of 2 health insurance questionnaire.