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February 20172017 EMPIRE PLAN FLEXIBLE
FORMULARY DRUG LIST
Administered by CVS CaremarkThe Empire Plan Flexible Formulary is a guide within select therapeutic categories for enrolled and health care
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What is form empire plan flexible?
Form empire plan flexible allows participants to make changes to their benefit elections outside of the regular open enrollment period.
Who is required to file form empire plan flexible?
Employees who want to make changes to their benefit elections outside of the regular open enrollment period.
How to fill out form empire plan flexible?
Participants can fill out form empire plan flexible online or by submitting a paper form to their HR department.
What is the purpose of form empire plan flexible?
The purpose of form empire plan flexible is to allow participants to update their benefit elections based on life events or changing needs.
What information must be reported on form empire plan flexible?
Participants must report changes to their benefit elections, such as adding or removing dependents, changing coverage levels, or updating contact information.
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