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201516 OPEN ENROLLMENT APPLICATION (for students residing outside the Goddard School District) Goddard Public Schools USD 265 P.O. Box 249, 201 S. Main St., Goddard, KS 67052 3167944000 A separate
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16 open enrollment application is the form used for enrolling in a plan outside of the normal enrollment period.
Individuals who experience a qualifying life event such as losing other coverage or having a baby are required to file the 16 open enrollment application.
To fill out the 16 open enrollment application, you need to provide basic personal information, details of the qualifying life event, and select a plan that meets your needs.
The purpose of the 16 open enrollment application is to allow individuals to enroll in a plan outside of the normal enrollment period due to a qualifying life event.
The 16 open enrollment application must include personal information, details of the qualifying life event, and plan selection.
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