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WWW.FSAFEDS.com 77-FSAFEDS (372-3337) 4160 (0/2016) QUALIFYING LIFE EVENT FORM To notify SAFES of a qualifying life event (ALE), please complete all details listed ...
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What is qualifying life event form?
The qualifying life event form is a form used to report major life changes that may affect an individual's health insurance coverage.
Who is required to file qualifying life event form?
Individuals who experience a qualifying life event such as getting married, having a baby, or losing other health coverage are required to file the form.
How to fill out qualifying life event form?
The form can typically be filled out online through the individual's health insurance provider's website or by calling their customer service number.
What is the purpose of qualifying life event form?
The purpose of the form is to notify the health insurance provider of any changes to an individual's circumstances that may affect their coverage or premium.
What information must be reported on qualifying life event form?
Information such as the date of the life event, documentation of the event, and any changes to household size or income may need to be reported on the form.
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