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Member Enrollment / Change Request Form for Group Coverage Oregon residents must choose a PPO Network: I. First Choice Health Network EMPLOYER MUST COMPLETE THIS SECTION AND CHECK APPROPRIATE BOXES:
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How to fill out Oregon residents must choose:

01
First, gather all the necessary information and documents. This may include your proof of residency in Oregon, identification documents, and any supporting documentation required for the specific resident program you are applying for.
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Next, familiarize yourself with the different resident program options available in Oregon. These may include programs for in-state tuition, healthcare benefits, and other government assistance programs. Understand the eligibility requirements and benefits of each program to determine which one suits your needs.
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Once you have chosen the resident program you wish to apply for, visit the official website or department responsible for that program. Look for the application form and carefully read the instructions provided.
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Fill out the application form accurately and completely. Make sure all the required fields are appropriately filled in and attach any supporting documents as instructed. Double-check for any errors or missing information before submitting your application.
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If there is a fee associated with the application, ensure that you include the required payment. Follow the specific payment instructions provided by the program.
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Finally, submit your completed application either by mail, online submission, or in-person, depending on the instructions provided. Keep a copy of your application and any supporting documents for your records.

Who needs Oregon residents must choose?

01
Individuals who have established residency in Oregon and wish to access various resident programs offered by the state.
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Students who want to qualify for in-state tuition at Oregon colleges and universities.
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Residents who are seeking healthcare benefits or other government assistance programs exclusive to Oregon residents.
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Employers or businesses that need to verify the residency status of their employees or customers for state-specific purposes.
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Individuals who wish to avail of any other benefits or privileges exclusively available to Oregon residents.
Note: The specific requirements and eligibility criteria may vary for each resident program in Oregon. It is essential to review the official guidelines and instructions provided by the respective program to ensure accurate and up-to-date information.
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Oregon residents must choose their preferred tax filing status.
All Oregon residents who have taxable income are required to file.
Oregon residents must fill out the appropriate tax forms and indicate their chosen filing status.
The purpose of Oregon residents choosing their tax filing status is to accurately report their income and determine their tax liability.
Oregon residents must report their income sources, deductions, and credits on their tax forms when choosing their filing status.
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