Get the free 2016 CCD Enrollment bFormb Half-Time PTO - Rev 1-14-16 - Denver - denvergov

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2016 Halftime City and County of Denver Benefits Elections & Change Form 1. New hires must complete and submit enrollments within 30 days of hire date. If you want coverage, circle the appropriate

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How to fill out 2016 ccd enrollment bformb

How to fill out 2016 CCD enrollment form:

01

Start by gathering all the necessary information. You will need personal details such as your name, address, date of birth, and contact information.

02

Next, provide information regarding your current healthcare coverage. Indicate whether you have any existing healthcare plan or if you are currently uninsured.

03

Move on to the section where you will need to provide information about your household. This includes details about the individuals who live with you and their relationship to you.

04

If you have any dependents, you will need to provide their information as well. This includes their names, dates of birth, and relationship to you.

05

The form will also ask about your income and financial information. Be prepared to provide details about your household income, including any government assistance programs you may be receiving.

06

You may also need to indicate your preference for a primary care physician or select a healthcare plan option, if applicable.

07

Review the completed form for accuracy and completeness. Make sure all the necessary sections have been filled out and all the information provided is correct.

Who needs 2016 CCD enrollment form:

01

Individuals who are looking to enroll in a healthcare plan for the year 2016 will need to fill out the CCD enrollment form.

02

Those who currently do not have any healthcare coverage and are seeking to enroll in a plan should also complete this form.

03

Additionally, individuals who have experienced a change in their healthcare coverage and need to update their information for the year 2016 may also be required to fill out the CCD enrollment form.

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