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["洛阳市职工重大疾病互助保障投保人明细表"]
["序号","姓名","身份证号","是否有医保","备注"]
{"$rows_empty":23}
["    上述所填写的内容均属实。全国、省、市三级劳动模范，全国、省、市三级五一劳动奖章获得者，河洛工匠、河洛大工匠获得者请在备注栏注明身份。\n\n投保单位工会（签章）：         投保单位联系人：\n                               联系电话：\n                                      年     月     日"]