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Member Guide Your Introduction to Kaiser Permanent MEMBER GUIDE :063*/530%$65×0/50, “*4&31&3. “/&/5& This guide provides general information, not medical advice or benefit coverage. For complete

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How to fill out 2014-2015 retiree kaiser hawaii-under

How to fill out 2014-2015 retiree kaiser hawaii-under:

01

Obtain the form: The 2014-2015 retiree kaiser hawaii-under form can be obtained from your employer or the Kaiser Permanente website.

02

Read the instructions: Before filling out the form, carefully read through the instructions provided. Make sure you understand all the requirements and guidelines.

03

Provide personal information: Begin by entering your full name, address, phone number, and other requested personal details in the appropriate fields.

04

Provide retiree details: If you are a retiree, provide the necessary information such as your retirement date, retirement plan, and any other information required.

05

Provide insurance information: Fill in the section regarding your insurance coverage. This may include details about your current insurance plan, policy number, and effective dates.

06

Complete the sections on dependents: If you have dependents, provide their names, dates of birth, and other requested information.

07

Fill in the medical history: Provide information related to your medical history as requested on the form. Be honest and accurate when answering these questions.

08

Sign and date the form: Once you have completed all the required sections of the form, sign and date it in the designated area.

09

Submit the form: After carefully reviewing the completed form for accuracy, submit it to the appropriate recipient, such as your employer or the Kaiser Permanente office.

Who needs 2014-2015 retiree kaiser hawaii-under:

01

Retirees: This form is specifically designed for individuals who have retired from their employment and are seeking health insurance coverage through Kaiser Permanente in Hawaii for the years 2014-2015.

02

Individuals with dependents: Those who have dependents, such as spouses or children, may also need to fill out this form to provide information about their dependents' coverage.

03

Individuals seeking health insurance: Any individual who is looking to enroll in health insurance coverage through Kaiser Permanente for the specified time frame will need to complete this form.

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