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P.O. Box 8747 ? BOSTON, MA 02114-8747 (617) 727-2310 www.mass.gov/gic 01 Insureds ACID (usually Soc. Sec. #) / Name — Last Address Date Entered Service / / This is a new address Bargaining Unit/Union
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What is insurance enrollment and change?
Insurance enrollment and change refers to the process of signing up for or updating insurance coverage. It allows individuals to join or make changes to their existing insurance plans.
Who is required to file insurance enrollment and change?
Individuals who are eligible for insurance coverage, such as employees in a company-sponsored plan or individuals seeking coverage through insurance marketplaces, are required to file insurance enrollment and change.
How to fill out insurance enrollment and change?
To fill out insurance enrollment and change, individuals typically need to provide personal information, choose the desired insurance plan, and make any necessary updates or changes to their coverage. The specific process and forms may vary depending on the insurance provider or marketplace.
What is the purpose of insurance enrollment and change?
The purpose of insurance enrollment and change is to ensure that individuals have access to adequate and appropriate insurance coverage. It allows them to join or update their plans to meet their changing needs, providing financial protection against potential risks and healthcare expenses.
What information must be reported on insurance enrollment and change?
The information required to be reported on insurance enrollment and change typically includes personal details such as name, date of birth, social security number, contact information, and dependent information. Additional information may include income, employment details, and information regarding existing insurance coverage.
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