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2016 OSU HEALTHCARE AND FLEX ENROLLMENT/CHANGE FORM EMPLOYEE INFORMATION Please Print Campus Wide ID: Social Security #: — Employee Name: Married Home Telephone: Single Divorced Gender: M F Widowed

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How to fill out 2016 osu healthcare and

How to fill out 2016 osu healthcare and:

01

Obtain the necessary form: The 2016 osu healthcare and form can usually be found on the official website of OSU healthcare or requested from their offices.

02

Read the instructions carefully: Take the time to thoroughly go through the instructions provided with the form. This will help you understand the requirements and procedures for filling it out correctly.

03

Personal Information: Begin by entering your personal information accurately. This may include your name, address, contact details, social security number, and other relevant information as requested.

04

Dependent Information: If you are enrolling dependents under the healthcare plan, make sure to provide their details as well. This may include their names, dates of birth, social security numbers, and any other required information.

05

Select the appropriate healthcare plan: Choose the healthcare plan that best suits your needs from the options provided. Consider factors like coverage, costs, and any specific requirements or restrictions.

06

Coverage Period: Indicate the period for which you are seeking coverage. This is typically stated as the start and end dates of the coverage.

07

Medical History: Fill out any sections related to your medical history honestly and accurately. This information is essential for determining eligibility and providing appropriate healthcare services.

08

Sign and Date: Once you have completed filling out the form, carefully review all the entered information. Sign and date the form as required.

09

Submitting the form: Follow the instructions provided to submit the filled-out form. This may involve mailing it to the designated address, submitting it online, or delivering it in person.

Who needs 2016 osu healthcare and:

01

Students: OSU healthcare plans are generally available to students enrolled in the university. These plans offer access to various medical services and coverage options during their academic period.

02

Faculty and Staff: OSU healthcare plans may also be extended to faculty and staff members of the university. These plans provide healthcare benefits to ensure the well-being of employees.

03

Dependents: Eligible dependents of students, faculty, or staff may also require 2016 osu healthcare and. This includes spouses, partners, and children who rely on the healthcare coverage provided by OSU.

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What is osu healthcare and flex?

OSU healthcare and flex is a program offered by Oklahoma State University that allows employees to set aside pre-tax money for healthcare and dependent care expenses.

Who is required to file osu healthcare and flex?

All eligible employees of Oklahoma State University are required to file for osu healthcare and flex if they wish to participate in the program.

How to fill out osu healthcare and flex?

To fill out osu healthcare and flex, employees need to complete the enrollment form provided by Oklahoma State University during the open enrollment period.

What is the purpose of osu healthcare and flex?

The purpose of osu healthcare and flex is to help employees save money on healthcare and dependent care expenses by allowing them to use pre-tax dollars.

What information must be reported on osu healthcare and flex?

Employees participating in osu healthcare and flex must report their eligible healthcare and dependent care expenses.

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