My insurance was terminated for non-payment for Sep thru Dec, but the form won't accept $0 in all three boxes for those months. What do i do?

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My insurance was terminated for non-payment for Sep thru Dec, but the form won't accept $0 in all three boxes for those months. What do i do?

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My insurance was terminated for non-payment for Sep thru Dec, but the form won't accept $0 in all three boxes for those months. What do i do?

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