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Get the free COMPCARE WELLNESS: OPTION SELECTION FORM 2012

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This document is used for members to select their medical aid options and provide necessary details for processing their applications.
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How to fill out compcare wellness option selection

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How to fill out COMPCARE WELLNESS: OPTION SELECTION FORM 2012

01
Obtain the COMPCARE WELLNESS: OPTION SELECTION FORM 2012 from your employer or wellness program provider.
02
Read the instructions at the top of the form carefully to understand the purpose and options available.
03
Fill in your personal details in the designated sections, such as your name, employee ID, and contact information.
04
Review the available wellness options listed on the form and select your preferred choices based on your interests and needs.
05
If there are multiple options for the same category, choose the one that you feel would benefit you the most.
06
Check all selections to ensure they are appropriately marked and complete any necessary additional information required for your selections.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form to the designated wellness coordinator or HR representative by the specified deadline.

Who needs COMPCARE WELLNESS: OPTION SELECTION FORM 2012?

01
Employees participating in a wellness program offered by their employer.
02
Individuals looking to make health and wellness selections to improve their well-being.
03
Those who are required to choose specific wellness options for health insurance benefits.
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COMPCARE WELLNESS: OPTION SELECTION FORM 2012 is a document used to select health and wellness benefits offered by COMPCARE for the year 2012.
Employees who are eligible for health and wellness benefits through COMPCARE are required to file the COMPCARE WELLNESS: OPTION SELECTION FORM 2012.
To fill out the form, an individual should read the instructions carefully, select the desired options for health and wellness benefits, and provide any required personal and employment information.
The purpose of the form is to allow employees to choose their preferred wellness options and benefits for the 2012 plan year, ensuring they receive the health coverage that fits their needs.
The information that must be reported includes personal identification details, employment information, and the selected health and wellness options.
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