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Este formulario permite a los empleados de OSU inscribirse, cambiar o renunciar a sus beneficios de salud, dental y visión, así como a sus cuentas de gastos flexibles y cuentas de ahorro para la
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How to fill out 2013 OSU HEALTHCARE AND FLEX ENROLLMENT/CHANGE FORM

01
Obtain the 2013 OSU Healthcare and Flex Enrollment/Change Form from the HR website or your department.
02
Enter your personal information at the top of the form, including your name, employee ID, and contact information.
03
Choose the type of enrollment or change you want to make: new enrollment, change in coverage, or cancellation.
04
If enrolling in a health plan, select the specific plan you wish to enroll in from the provided options.
05
If applicable, indicate any dependents you wish to enroll, provide their information, and sign where indicated regarding their enrollment.
06
Complete any additional sections as required, such as flexible spending accounts or health savings accounts.
07
Review your information for accuracy to ensure there are no errors.
08
Sign and date the form at the bottom where indicated.
09
Submit the completed form to HR by the enrollment deadline.

Who needs 2013 OSU HEALTHCARE AND FLEX ENROLLMENT/CHANGE FORM?

01
Employees of OSU who wish to enroll in or make changes to their healthcare or flexible spending plans for the year 2013.
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2024-25 RATES - STUDENT HEALTH BENEFITS PLAN Coverage LevelPer Semester – Autumn / Spring (spring semester includes summer coverage) Fee includes medical, dental and vision benefits Student $ 1884 Student + Spouse $ 3768 Student + Child $ 3768 Student + Spouse + Child $ 56522 more rows
Ohio State University 2025 Rankings Ohio State University is in Tier 1 in Best Medical Schools: Research and in Tier 2 in Best Medical Schools: Primary Care.
OSU provides a competitive benefit package which includes insurance and retirement benefits in addition to other programs and services.
The Student Health Benefits Plan includes medical, mental health, prescription drug, dental and vision benefits. Review the Welcome page to get started.
OSU Health Plan offers its members original and comprehensive programming for all areas of health and wellness, available to them and their benefits-eligible family members.
If you need additional assistance, please contact the OSU Health Plan at 614-292-4700 or 800-678-6269 and a customer service representative will provide information to help you with the application process.
If you need assistance, call the OSU Health Plan at 614-292-4700 or 800-678-6269 and a customer service specialist will provide information to help you with the application process.

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The 2013 OSU Healthcare and Flex Enrollment/Change Form is a document used by employees of Ohio State University to enroll in or make changes to their health care and flexible spending account benefits for the year 2013.
All eligible employees of Ohio State University who wish to enroll in or make changes to their health care plans or flexible spending accounts are required to file this form.
To fill out the form, employees must provide their personal information, select the desired health care plans or changes, and indicate any qualifying dependent information before submitting it to the appropriate human resources department.
The purpose of this form is to allow eligible employees to formally document their health care selections and changes for the plan year, ensuring they receive the intended benefits.
The form must report information such as employee identification details, selected health care plans, dependent information, and any changes being requested for the current benefit year.
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