Get the free City of Tacoma Group Insurance Plan Enrollment/Change Form - cms cityoftacoma
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This form is for retirees to enroll or change their group insurance plans, including medical, dental, and vision coverage. It requires personal information and selection of insurance options.
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How to fill out city of tacoma group
How to fill out City of Tacoma Group Insurance Plan Enrollment/Change Form
01
Download the City of Tacoma Group Insurance Plan Enrollment/Change Form from the official website.
02
Read the instructions carefully before filling out the form.
03
Complete the personal information section, including your name, contact information, and employee ID.
04
Indicate whether you are enrolling for the first time or making changes to your existing enrollment.
05
Fill out the dependent information section if enrolling dependents; include names, dates of birth, and relationship to you.
06
Review the coverage options available and select the plans you wish to enroll in or change.
07
Sign and date the form certifying that all information provided is accurate.
08
Submit the completed form to the HR department by the specified deadline.
Who needs City of Tacoma Group Insurance Plan Enrollment/Change Form?
01
All City of Tacoma employees who wish to enroll in or make changes to their group insurance plan.
02
Dependents of City of Tacoma employees who are being added to the insurance plan.
03
Employees who have experienced qualifying life events that require changes to their insurance coverage.
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What is City of Tacoma Group Insurance Plan Enrollment/Change Form?
The City of Tacoma Group Insurance Plan Enrollment/Change Form is a document used by eligible employees to enroll in or make changes to their group insurance plans provided by the City of Tacoma.
Who is required to file City of Tacoma Group Insurance Plan Enrollment/Change Form?
Employees of the City of Tacoma who wish to enroll in a new group insurance plan or make changes to their existing insurance coverage are required to file this form.
How to fill out City of Tacoma Group Insurance Plan Enrollment/Change Form?
To fill out the form, employees should provide personal details such as name, employee ID, and contact information, indicate the type of change or enrollment requested, and review their selections before submitting the form to the HR department.
What is the purpose of City of Tacoma Group Insurance Plan Enrollment/Change Form?
The purpose of the form is to facilitate the enrollment process and manage changes to employee insurance coverage, ensuring that employees can access the benefits they are entitled to.
What information must be reported on City of Tacoma Group Insurance Plan Enrollment/Change Form?
The form must include the employee's personal information, details about the insurance plans selected or changed, effective dates for the changes, and any dependent information if applicable.
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