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Application form for enrolling dependents in the Dartmouth Student Group Health Plan (DSGHP), including spouse or domestic partner and children.
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How to fill out dartmouth student group health
How to fill out Dartmouth Student Group Health Plan (DSGHP) Dependent Application
01
Obtain the Dartmouth Student Group Health Plan (DSGHP) Dependent Application form from the official Dartmouth Health Services website.
02
Complete the application form with accurate information, including your personal details, your dependent's information, and the insurance coverage you are applying for.
03
Attach any required documentation, such as proof of dependency, which may include birth certificates, marriage certificates, or legal guardianship papers.
04
Review the application to ensure all information is complete and accurate before submission.
05
Submit the completed application form and required documents to the designated office at Dartmouth following their submission guidelines.
06
Pay any applicable fees associated with the dependent application as instructed on the form.
Who needs Dartmouth Student Group Health Plan (DSGHP) Dependent Application?
01
Students who wish to enroll their dependents in the Dartmouth Student Group Health Plan (DSGHP) require the Dependent Application.
02
Dependents of Dartmouth students, including children and spouses, who need access to health insurance coverage under the DSGHP are the primary individuals for whom this application is necessary.
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What is Dartmouth Student Group Health Plan (DSGHP) Dependent Application?
The Dartmouth Student Group Health Plan (DSGHP) Dependent Application is a form that allows students to enroll their eligible dependents in the health insurance plan offered by Dartmouth College.
Who is required to file Dartmouth Student Group Health Plan (DSGHP) Dependent Application?
Students who wish to add their eligible dependents, such as spouses or children, to the Dartmouth Student Group Health Plan are required to file the DSGHP Dependent Application.
How to fill out Dartmouth Student Group Health Plan (DSGHP) Dependent Application?
To fill out the DSGHP Dependent Application, students must complete the application form, providing necessary details about themselves and their dependents, and submit it according to the provided instructions, typically through the student health services or online portal.
What is the purpose of Dartmouth Student Group Health Plan (DSGHP) Dependent Application?
The purpose of the DSGHP Dependent Application is to ensure that eligible dependents of Dartmouth students have access to health insurance coverage under the DSGHP, thereby providing them with necessary healthcare services.
What information must be reported on Dartmouth Student Group Health Plan (DSGHP) Dependent Application?
The information that must be reported on the DSGHP Dependent Application includes the student's details (name, student ID, contact information), as well as the dependent's information (name, relationship to the student, date of birth, and any required socioeconomic information).
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