Get the free CUPE 116 Medical Dental Leave Requestdocx - botany ubc

Print Form REQUESTRECORDFORLEAVEFORMEDICAL/DENTALAPPOINTMENTS ForEmployeescoveredbytheCUPE116CollectiveAgreement NAME: InaccordancewithArticle17.03oftheCollectiveAgreement,Iamrequestingleaveforamedicalor

How to fill out cupe 116 medical dental

How to fill out cupe 116 medical dental:

1. Obtain the cupe 116 medical dental form from your employer or human resources department.
2. Carefully read through the instructions provided with the form to ensure you understand the process.
3. Fill in your personal information accurately, including your name, contact details, and employee identification number.
4. Provide information about your dependents, if applicable, such as their names and relationship to you.
5. Indicate whether you are enrolling for the first time or making changes to your existing coverage.
6. Select the appropriate coverage options from the available choices, such as dental, vision, or extended health care.
7. If required, provide supporting documentation, such as proof of dependent status or proof of disability, as indicated on the form.
8. Review all the information you have provided and make sure it is accurate and complete.
9. Sign and date the form to certify that the information you have provided is true and accurate.
10. Submit the completed form to the designated department or individual responsible for processing cupe 116 medical dental forms.

Who needs cupe 116 medical dental:

1. CUPE 116 medical dental is typically needed by employees who are members of CUPE 116, a union representing workers at the University of British Columbia.
2. Employees who wish to have medical and dental coverage through their employment may need to fill out the cupe 116 medical dental form.
3. In some cases, dependents of 116 CUPE members may also be eligible for coverage under the cupe 116 medical dental plan, requiring the completion of the form.

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What is cupe 116 medical dental?

CUPE 116 medical dental is a benefit plan offered to CUPE Local 116 members for medical and dental coverage.

Who is required to file cupe 116 medical dental?

All CUPE Local 116 members are required to file cupe 116 medical dental to enroll in the benefit plan.

How to fill out cupe 116 medical dental?

CUPE 116 medical dental forms can be filled out online or through a paper form provided by the union.

What is the purpose of cupe 116 medical dental?

The purpose of cupe 116 medical dental is to provide CUPE Local 116 members with access to affordable medical and dental coverage.

What information must be reported on cupe 116 medical dental?

The information required on cupe 116 medical dental includes member details, dependent information, medical history, and dental coverage preferences.