Get the free Newborn/Adoption Enrolment Form for Group Medical and Dental Coverages - hr ubc

This form is used by employees of the University of British Columbia to enroll their newborn or adopted child in medical and dental coverages and to authorize the use of personal information for benefits

How to fill out newbornadoption enrolment form for

How to fill out Newborn/Adoption Enrolment Form for Group Medical and Dental Coverages

1. Obtain the Newborn/Adoption Enrolment Form from your employer or insurance provider.
2. Fill in the child's full name, date of birth, and place of birth in the designated sections.
3. Provide the adoptive parents' names and any required identification information.
4. Indicate the type of coverage you are enrolling the child for, whether it's medical, dental, or both.
5. Complete any additional information required, such as social security number and contact details.
6. Sign and date the form to certify accuracy.
7. Submit the completed form to your HR department or insurance provider by the deadline.

Who needs Newborn/Adoption Enrolment Form for Group Medical and Dental Coverages?

1. Parents who have recently had a newborn.
2. Parents who have adopted a child.
3. Individuals seeking to enroll their new dependents in group medical and dental coverage.

For pdfFiller’s FAQs

What is Newborn/Adoption Enrolment Form for Group Medical and Dental Coverages?

The Newborn/Adoption Enrolment Form is a document used to register a newborn child or an adopted child for group medical and dental insurance coverage provided by an employer or insurance provider.

Who is required to file Newborn/Adoption Enrolment Form for Group Medical and Dental Coverages?

Parents or legal guardians of a newborn or adopted child are required to file the Newborn/Adoption Enrolment Form to ensure that the child is enrolled in the appropriate medical and dental coverage under the family plan.

How to fill out Newborn/Adoption Enrolment Form for Group Medical and Dental Coverages?

To fill out the form, provide the child's full name, date of birth or adoption date, gender, and relevant identification information. Additionally, include the policyholder's information and any required signatures before submitting the form to the insurance provider.

What is the purpose of Newborn/Adoption Enrolment Form for Group Medical and Dental Coverages?

The purpose of the form is to formally add a newborn or adopted child to the existing group health and dental insurance plan, ensuring that the child has access to necessary healthcare and dental services.

What information must be reported on Newborn/Adoption Enrolment Form for Group Medical and Dental Coverages?

The information that must be reported includes the child's name, date of birth or adoption, gender, parent's or guardian's personal and employment details, and any other required contact or identification information.