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Spouse/Partner No Access Certification Please complete and sign this section if you are insuring a spouse/partner (partner refers to a same-sex domestic partner) in a UM medical plan. (NOTE: If your
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Visit the official website of the University of Spousalsurcharge.
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Look for the "Spousalsurcharge Application Form" or a similar named document on the website.
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Note: The requirements for spousalsurcharge and eligibility may vary depending on the specific policies and regulations of the University of Spousalsurcharge. It is advisable to refer to the official university website or contact their administrative office for accurate and up-to-date information.
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Spousal surcharge at a university is an additional fee that may be required for employees who enroll their spouse in the university's health insurance plan.
Employees who enroll their spouse in the university's health insurance plan may be required to file a spousal surcharge.
To fill out a spousal surcharge form at a university, employees may need to provide information about their spouse's eligibility for other health insurance coverage.
The purpose of a spousal surcharge at a university is to incentivize employees to enroll their spouses in health insurance plans offered by their own employers.
Employees may need to report information about their spouse's health insurance coverage and eligibility when filing a spousal surcharge at a university.
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