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Get the free 2009 OPEN ENROLLMENT WORKSHEET - fresnostate

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This document is used for employees of California State University, Fresno to manage their open enrollment for health and dental benefits, including adding or deleting dependents and selecting plans.
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How to fill out 2009 open enrollment worksheet

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How to fill out 2009 OPEN ENROLLMENT WORKSHEET

01
Obtain the 2009 Open Enrollment Worksheet from your HR department or the company's benefits portal.
02
Review the instructions provided with the worksheet carefully.
03
Fill in your personal information at the top of the worksheet, including your name, employee ID, and contact information.
04
Review the benefits options available for the 2009 enrollment period, including health insurance, dental insurance, and other benefits.
05
Use the worksheet to compare the different plans, noting the premiums, deductibles, and coverage details.
06
Mark your choices clearly on the worksheet, indicating the benefits you wish to enroll in or change.
07
Ensure you have signed and dated the worksheet at the bottom.
08
Submit the completed worksheet to your HR department before the deadline for open enrollment.

Who needs 2009 OPEN ENROLLMENT WORKSHEET?

01
Employees of the company who wish to enroll or make changes to their benefits for the 2009 plan year.
02
New employees who are joining during the open enrollment period.
03
Current employees who have had a qualifying life event (such as marriage or birth of a child) and wish to update their benefits.
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The 2009 Open Enrollment Worksheet is a document used to assist individuals in understanding and managing their options during the open enrollment period for health insurance.
Individuals who are eligible for health insurance through their employer or a government program and wish to make changes to their coverage are typically required to file the 2009 Open Enrollment Worksheet.
To fill out the 2009 Open Enrollment Worksheet, individuals should provide personal information, detail their current insurance coverage, and indicate any changes they wish to make regarding their health insurance plans.
The purpose of the 2009 Open Enrollment Worksheet is to facilitate the process of selecting or changing health insurance plans during the designated open enrollment period, ensuring individuals make informed choices.
The information that must be reported on the 2009 Open Enrollment Worksheet includes personal identification details, current and desired coverage options, any relevant financial information, and changes in circumstances that may affect insurance needs.
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