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The County may also amend the Plan prospectively or retroactively to comply with applicable law. Signature Date IMPORTANT All documents MUST be signed and received by 5 00 p.m. ET Friday October 28 2016. The deadline to make changes and for OHR to receive all required paperwork is October 28 2016 at 5 00 p.m. ET. 2017 Health and Life Insurance RETIREE Election Form Do not complete this form unless you are making changes. Mail to OHR Health Insurance Team 101 Monroe St. 7th Floor Rockville MD...
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What is retiree election form?
The retiree election form is a document that allows retirees to make choices regarding their benefits and coverage.
Who is required to file retiree election form?
Retirees who are enrolled in a benefits program that requires them to make elections or choices must file a retiree election form.
How to fill out retiree election form?
Retirees can fill out the retiree election form by providing their personal information, selecting their desired benefit options, and signing the form.
What is the purpose of retiree election form?
The purpose of the retiree election form is to empower retirees to make decisions about their benefits and coverage.
What information must be reported on retiree election form?
The retiree election form must include personal information, benefit selections, and the retiree's signature.
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