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West Covina Unified School District Business and Fiscal Services Section 125 Cafeteria Plan Employee Name: SS#: (last four digits) Address: Telephone Number: () Date of Birth: Classified School Site/Department:
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How to fill out b2015b open enrollment packet

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How to fill out b2015b open enrollment packet:

01
Start by carefully reading all instructions provided in the packet. Make sure you understand the purpose of the enrollment packet and the deadlines associated with it.
02
Gather all the necessary documents and information required to complete the forms. This may include personal identification, social security numbers, and dependent information.
03
Begin by filling out the basic information section, which usually includes your name, address, and contact information. Double-check for any spelling mistakes or missing information.
04
Proceed to the section where you need to provide details about your current healthcare coverage. This may involve filling in your insurance provider's name, policy number, and any other relevant details.
05
If the enrollment packet includes sections for dependent coverage, ensure you accurately provide information for each dependent, including their full names, dates of birth, and social security numbers.
06
Review the provided options for healthcare plans and select the one that best suits your needs. Some packets may require you to make specific choices for different types of coverage.
07
If applicable, indicate whether you have any additional coverage such as dental or vision plans. Provide the required information for each additional coverage option.
08
Pay close attention to any sections that require your signature. Read through the provided terms and conditions carefully before signing to acknowledge your understanding and agreement.
09
Once you have completed all the necessary sections, carefully review your filled-out enrollment packet for any errors or missing information. Make any necessary corrections before submitting it.
10
Keep a copy of the completed enrollment packet for your records and submit the original by the specified deadline.

Who needs b2015b open enrollment packet:

01
Employees who are eligible for healthcare benefits through their employer may need to complete the b2015b open enrollment packet.
02
Individuals who wish to make changes to their current healthcare coverage or enroll in a new plan may need to fill out the b2015b open enrollment packet.
03
Dependents of employees who are covered under their employer's healthcare plan may also need to complete the enrollment packet if they wish to receive coverage.
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The b2015b open enrollment packet is a set of forms and documents that employees or individuals need to complete in order to enroll in or make changes to their benefits for the year 2015.
All employees or individuals who are eligible for benefits or wish to make changes to their benefits for the year 2015 are required to file the b2015b open enrollment packet.
To fill out the b2015b open enrollment packet, employees or individuals need to carefully review the forms and documents provided, provide accurate information, and submit the completed packet by the deadline.
The purpose of the b2015b open enrollment packet is to allow employees or individuals to enroll in or make changes to their benefits for the year 2015, ensuring that they have the coverage they need.
The b2015b open enrollment packet may require employees or individuals to report personal information, dependent information, benefit selections, and any changes they wish to make to their coverage for the year 2015.
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