Get the free Addition of Dependent(s) Application - Anthem Blue Cross

Short Option Anthem Blue Cross and Blue Shield Application for Short-Term Major Medical Insurance Underwriting Fax # 1-800-336-2429 P.O. Box 14046, Roanoke, VA 24038-4046 1. Applicant Information

How to fill out addition of dependents application

How to fill out addition of dependents application:

1. Access the addition of dependents application form, which can typically be found on the website or obtained from the relevant authority.
2. Fill in your personal information, such as your name, address, and contact information, accurately and legibly.
3. Provide the necessary details of the dependent(s) you want to add, including their full name, date of birth, relationship to you, and any other required information.
4. If applicable, provide any supporting documents required, such as birth certificates or marriage certificates, to prove the relationship between you and the dependents.
5. Review the completed application form to ensure all the information is accurate and complete.
6. Submit the addition of dependents application form to the designated authority, either by mail, in person, or through an online submission process.

Who needs addition of dependents application:

1. Individuals who have recently gained new dependents, such as a spouse or children.
2. People who are eligible to add dependents to their existing benefits or insurance plans.
3. Employees who need to update their workplace benefits enrollment to include their dependents.
4. Military personnel who want to add their dependents to their military benefits or enrollment.
5. Any individual who needs to provide official documentation or proof of their dependents for legal purposes, such as for immigration or eligibility for certain social welfare programs.

For pdfFiller’s FAQs

What is addition of dependents application?

Addition of dependents application is a form that allows an individual to add dependents to their existing benefits or insurance coverage.

Who is required to file addition of dependents application?

Any individual who wishes to include dependents, such as spouse or children, in their benefits or insurance coverage is required to file addition of dependents application.

How to fill out addition of dependents application?

To fill out addition of dependents application, you need to provide personal information about the dependents, such as their names, dates of birth, and relationships to the applicant. You may also need to provide supporting documents, such as marriage certificates or birth certificates.

What is the purpose of addition of dependents application?

The purpose of addition of dependents application is to inform the benefit provider or insurance company about the individuals you wish to add as dependents, so that they can be included in the coverage and receive the applicable benefits.

What information must be reported on addition of dependents application?

On addition of dependents application, you must report the names, dates of birth, and relationships of the dependents you wish to add, as well as any supporting documentation required by the application.

How can I send addition of dependents application to be eSigned by others?

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