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BENEFITS+ 2017 SPECIAL ENROLLMENT FOR ANNUITANTS Designed Exclusively for State of Wisconsin Annuitants DENTAL HOSPITAL/SURGERY ADD VISION WWW.EPICBENEFITS.COM AVAILABLE TO ALL ANNUITANTS Your current
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How to fill out 2017 special enrollment

How to fill out 2017 special enrollment:
01
Determine if you qualify: Before filling out the 2017 special enrollment form, it's important to check if you meet the eligibility criteria. Special enrollment is typically available to individuals who have experienced certain life events, such as getting married, having a baby, losing other healthcare coverage, or moving to a new area.
02
Gather necessary documents: To complete the special enrollment form, you will need certain documents to verify your eligibility. Gather documents such as proof of address, birth certificates, marriage certificates, or documentation of your previous healthcare coverage.
03
Access the enrollment form: The 2017 special enrollment form can usually be obtained through your state's healthcare marketplace or through the federal Health Insurance Marketplace website. Visit the appropriate website or contact the marketplace helpline to access the enrollment form.
04
Provide personal information: Begin by filling out your personal information accurately on the special enrollment form. This may include your full name, social security number, date of birth, and contact information. Ensure to double-check all the entered information for accuracy.
05
Verify your eligibility: Fill in the necessary sections of the form that pertain to your eligibility for special enrollment. Provide details about the qualifying life event that makes you eligible and any supporting documentation as required.
06
Choose your healthcare plan: Once your eligibility is confirmed, you will be able to choose a healthcare plan that best suits your needs. Review the available options carefully and consider factors such as cost, coverage, and network providers. Select the plan that aligns with your preferences and budget.
07
Complete the enrollment process: After selecting a healthcare plan, follow the instructions provided on the special enrollment form to complete the enrollment process. This may involve signing the form electronically, submitting any additional documentation required, and paying the first premium installment, if applicable.
Who needs 2017 special enrollment?
01
Individuals experiencing qualifying life events: Those who have experienced specific life events, such as getting married, having a baby, losing other healthcare coverage, or moving to a new area, may need 2017 special enrollment. This allows them to enroll in or change their healthcare coverage outside the regular open enrollment period.
02
Those seeking to avoid a coverage gap: People who lost their previous healthcare coverage and want to avoid a gap in coverage may require 2017 special enrollment. This ensures they have continuous insurance protection for themselves and their families.
03
Individuals who recently moved or changed their residence: Those who have recently moved to a new area or changed their residence may need to apply for 2017 special enrollment. This allows them to enroll in a healthcare plan that aligns with the healthcare options available in their new location.
Remember, the eligibility criteria for special enrollment may vary depending on your state or the healthcare marketplace you are applying through. It is always advisable to consult the marketplace website or helpline for specific instructions and guidance on filling out the 2017 special enrollment form.
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What is special enrollment?
Special enrollment is a period outside of the regular enrollment period during which individuals can sign up for health insurance coverage.
Who is required to file special enrollment?
Individuals who experience a qualifying life event, such as getting married or having a baby, are required to file for special enrollment.
How to fill out special enrollment?
To fill out special enrollment, individuals must visit their state's health insurance marketplace or healthcare.gov and provide information about their qualifying life event.
What is the purpose of special enrollment?
The purpose of special enrollment is to allow individuals to enroll in health insurance coverage outside of the regular enrollment period due to qualifying life events.
What information must be reported on special enrollment?
Individuals must report information about their qualifying life event, such as the date it occurred and any supporting documentation.
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