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This document is used for enrolling employees in the NDPERS group health insurance plan, waiving health coverage, reporting changes in employment status, and managing dependents' eligibility for coverage.
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How to fill out ndpers group health application

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How to fill out NDPERS Group Health Application

01
Start by downloading the NDPERS Group Health Application form from the official NDPERS website.
02
Fill out your personal information in the designated sections, including your name, address, and contact details.
03
Select the type of coverage you require: individual or family.
04
Provide information about your employment status and employer details.
05
Complete the health history section as accurately as possible, disclosing any pre-existing conditions.
06
Attach any required documents, such as proof of employment or previous health coverage.
07
Review your application for accuracy and completeness before submission.
08
Submit the application through the recommended method, whether online, by mail, or in person.

Who needs NDPERS Group Health Application?

01
Individuals who are state employees looking for health coverage.
02
Dependents of state employees who need health insurance.
03
Any new employees of the state requiring to enroll in health benefits.
04
Individuals transitioning from other health plans to the NDPERS group health plan.
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People Also Ask about

Medium. The Dakota Plan is a fully insured health plan underwritten by Sanford Health Plan (SHP).
Every month you contribute to your NDPERS retirement plan, you earn service credit. Effective January 1, 2023, your account balance accrues interest compounded monthly at 6.00%.
Earn 2.00% AER / 1.98% Gross p.a.(variable) on your first £10,000 and 1.25% AER/ 1.24% Gross p.a.(variable) on any amount over £10,000 in your account. Interest is calculated on a daily basis and paid into your account on the first business day of the month.
Lowest monthly SHOP health insurance premiums in North Dakota BronzeSilver Enrollee age 30 $221.32 $233.81 Enrollee age 40 $249.21 $263.27 Enrollee age 50 $348.27 $367.92 Enrollee age 60 $529.23 $559.082 more rows

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NDPERS Group Health Application is a form used to enroll or modify health insurance coverage for eligible individuals under the North Dakota Public Employees Retirement System (NDPERS).
Individuals eligible for health coverage under NDPERS, including public employees, retirees, and their dependents, are required to file the NDPERS Group Health Application.
To fill out the NDPERS Group Health Application, individuals should provide personal details such as name, address, and employment information, select the desired coverage options, and provide any necessary supporting documentation as required.
The purpose of the NDPERS Group Health Application is to facilitate enrollment in health insurance programs for eligible public employees and their dependents, ensuring they have access to necessary health coverage.
The NDPERS Group Health Application must report personal identification information, employment details, selection of health plan options, and any dependents requiring coverage.
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