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Underwritten by: UNM Life Insurance Company of America LTC Department 2211 Congress Street, Portland, Maine 04122 C-SPAN Employee/Spouse Benefit Election Form Long Term Care Policy #299437-001 Date
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How to fill out c-span employeespouse benefit election:

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Begin by accessing the c-span employeespouse benefit election form through the designated platform or website.
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Carefully read and understand the instructions provided on the form to ensure accurate completion.
03
Fill in all the required personal information, including your full name, employee identification number, and contact details.
04
Provide information about your spouse, such as their full name, date of birth, and social security number.
05
Indicate the desired benefit options for your spouse, such as medical coverage, dental insurance, or retirement plans, by selecting the appropriate checkboxes or fields.
06
If necessary, attach any supporting documents required by the form, such as a marriage certificate or proof of eligibility for benefits.
07
Carefully review the completed form to check for any errors or omissions.
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Sign and date the form, confirming that all the information provided is truthful and accurate.
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Submit the form as instructed, either online or through the specified mailing address.

Who needs c-span employeespouse benefit election:

01
Employees of c-span who wish to enroll their spouse or partner in company-provided benefits.
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Individuals who want to ensure their spouse or partner has access to medical, dental, or retirement benefits offered by c-span.
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Those who have recently married or had a change in their marital status and need to update their spouse's benefit coverage with c-span.
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The C-SPAN employeespouse benefit election is a process through which C-SPAN employees can choose and enroll in benefits related to their spouse.
All C-SPAN employees who are eligible for benefits and have a spouse are required to file the C-SPAN employeespouse benefit election.
To fill out the C-SPAN employeespouse benefit election, employees need to complete the required forms provided by C-SPAN's Human Resources department and provide all necessary information about their spouse and desired benefits.
The purpose of the C-SPAN employeespouse benefit election is to allow C-SPAN employees to choose the appropriate benefits for their spouse, such as health insurance, retirement plans, and other dependent-related benefits.
The C-SPAN employeespouse benefit election requires employees to report information about their spouse, such as their name, date of birth, Social Security number, and any other relevant details required for benefits enrollment.
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