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Midyear Qualifying Event Academic Faculty, Administrative Professionals, Veterinary and Clinical Psychology Interns, Post Doctoral Fellows HUMAN RESOURCES If you have elected to have your premiums
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How to fill out mid-year qualifying event

How to fill out mid-year qualifying event
01
Gather all necessary information and documents such as previous year's tax returns, birth certificates, marriage certificates, etc.
02
Contact your employer or insurance provider to obtain the mid-year qualifying event form.
03
Carefully review the form and make sure you understand all the information and requirements.
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Fill out the form accurately and provide all the necessary details.
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Attach any supporting documents required by the form, such as proof of marriage or birth certificates.
06
Double-check your filled-out form to ensure all information is correct and complete.
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Submit the filled-out form along with the supporting documents to your employer or insurance provider within the specified timeframe.
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Keep a copy of the filled-out form and the supporting documents for your own records.
Who needs mid-year qualifying event?
01
Individuals who experienced a qualifying life event such as marriage, divorce, birth/adoption of a child, loss of other health coverage, or a change in employment status.
02
Those who want to make changes to their health insurance coverage outside of the annual open enrollment period.
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