Get the free 2009-10 Dependent Enrollment Application - cumc columbia
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An application form for enrolling dependents in the Student Health Service and Aetna Student Health Insurance Plan at Columbia University for the specified enrollment periods during the academic year.
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How to fill out 2009-10 dependent enrollment application
How to fill out 2009-10 Dependent Enrollment Application
01
Download the 2009-10 Dependent Enrollment Application form from the official website.
02
Read the instructions thoroughly before filling out the form.
03
Provide the personal information requested, including your name, address, and contact information.
04
Fill out the dependent information section, including the names, dates of birth, and Social Security numbers of your dependents.
05
Indicate your relationship to each dependent listed.
06
Review the eligibility requirements and ensure that all dependents meet the criteria.
07
Sign and date the application at the end of the form.
08
Submit the completed application by the specified deadline, either electronically or via mail.
Who needs 2009-10 Dependent Enrollment Application?
01
Individuals who are applying for dependent coverage under a health insurance plan for the year 2009-10.
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What is 2009-10 Dependent Enrollment Application?
The 2009-10 Dependent Enrollment Application is a form used by dependents to enroll in a specific health coverage plan for the academic year 2009-2010.
Who is required to file 2009-10 Dependent Enrollment Application?
Students who are dependents and wish to receive health coverage or other benefits under a specific plan are required to file the 2009-10 Dependent Enrollment Application.
How to fill out 2009-10 Dependent Enrollment Application?
To fill out the 2009-10 Dependent Enrollment Application, applicants should provide personal information, including contact details, relationship to the primary insured, and any required documentation supporting their dependent status.
What is the purpose of 2009-10 Dependent Enrollment Application?
The purpose of the 2009-10 Dependent Enrollment Application is to gather necessary information to ensure that eligible dependents can access benefits and coverage under a specific health plan for the academic year.
What information must be reported on 2009-10 Dependent Enrollment Application?
The 2009-10 Dependent Enrollment Application must report personal information of the dependent, including their name, age, relationship to the primary insured, and any relevant health history or conditions as required by the insurance provider.
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