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Employee Annual Change Request Group Plans Note: Complete and return this form to your employer to change your coverage option(s) to the plans listed below.

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What is employee annual change request?

Employee annual change request is a form that allows employees to request changes to their annual employment status or benefits.

Who is required to file employee annual change request?

All employees who wish to make changes to their annual employment status or benefits are required to file an employee annual change request.

How to fill out employee annual change request?

Employees can fill out the employee annual change request form by providing their personal information, desired changes, and any supporting documentation.

What is the purpose of employee annual change request?

The purpose of employee annual change request is to allow employees to make changes to their annual employment status or benefits.

What information must be reported on employee annual change request?

Employees must report their personal information, desired changes, and any supporting documentation on the employee annual change request form.

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