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Enroll in health insurance or change my coverage elections during the plan year if I ... Use this Form-RS to make GIG health plan changes for a qualifying status change ... Social Security Denial
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How to fill out GIC retireesurvivor enrollmentchange bformb:

01
Obtain the GIC retireesurvivor enrollmentchange bformb from the appropriate source, such as the GIC website or your employer's human resources department.
02
Begin by filling out the personal information section of the form, including your name, address, date of birth, and contact information.
03
Provide your Social Security number or employee identification number, depending on the requirements stated on the form.
04
Indicate the type of change you are making to your enrollment, whether it is an addition, deletion, or modification.
05
Specify the reason for the change, such as marriage, divorce, death of a beneficiary, or change in dependent status.
06
If adding or modifying a beneficiary, provide the necessary details, including their name, relationship to you, date of birth, and Social Security number.
07
If deleting a beneficiary, indicate their name and reason for removal.
08
Sign and date the form, certifying that the information provided is accurate to the best of your knowledge.
09
Attach any required documentation or proofs, as specified on the form or by your employer.
10
Submit the completed form to the designated authority, whether it is your employer, the GIC office, or the relevant benefits administrator.

Who needs GIC retireesurvivor enrollmentchange bformb?

01
Employees who are part of the GIC retirement and survivor benefits program.
02
Retirees who receive benefits from GIC and need to make changes to their enrollment or beneficiaries.
03
Survivors of deceased GIC members who are entitled to survivor benefits and need to update their enrollment information or make changes to beneficiaries.
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The GIC Retiree-Survivor EnrollmentChange BFormB is a form used to make changes to retiree and survivor health insurance coverage.
Retirees and survivors who need to make changes to their health insurance coverage are required to file the GIC Retiree-Survivor EnrollmentChange BFormB.
The GIC Retiree-Survivor EnrollmentChange BFormB must be filled out with accurate information regarding the requested changes to health insurance coverage.
The purpose of the GIC Retiree-Survivor EnrollmentChange BFormB is to facilitate changes to retiree and survivor health insurance coverage.
The GIC Retiree-Survivor EnrollmentChange BFormB must include information such as the requested changes to health insurance coverage, beneficiary details, and contact information.
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