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BROCK UNIVERSITY EXTENDED HEALTH AND DENTAL BENEFITS DEPENDENT ENROLLMENT/CHANGE FORM EMPLOYEE INFORMATION:EMPLOYEES SURNAME SPOUSE* INFORMATION (circle one): SPOUSES SURNAMEADDCHANGEFIRST NAMEFIRST
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How to fill out extended health and dental

How to fill out extended health and dental
01
Step 1: Gather all necessary documents such as health and dental coverage details, personal information, and any required forms.
02
Step 2: Carefully read through the extended health and dental form to understand the information needed.
03
Step 3: Fill out the form accurately and provide all the requested information.
04
Step 4: Double-check your entries to ensure there are no errors or missing details.
05
Step 5: Submit the completed extended health and dental form to the appropriate party, such as your employer or insurance provider.
06
Step 6: Keep a copy of the filled-out form for your records.
07
Step 7: Follow up with the relevant party to ensure your extended health and dental coverage is processed successfully.
Who needs extended health and dental?
01
Anyone who wants additional health coverage beyond basic medical insurance.
02
Individuals with specific health conditions or ongoing medical needs may benefit from extended health and dental coverage.
03
Families with children who require dental care or other specialized treatments can benefit from this coverage.
04
People who tend to have regular prescriptions or need access to various health services may find extended health and dental beneficial.
05
Employers often offer extended health and dental as part of their employee benefits package, so employees may also qualify for coverage through their workplace.
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What is extended health and dental?
Extended health and dental refers to additional coverage for medical expenses and dental care beyond what is provided by basic health insurance.
Who is required to file extended health and dental?
Employers are typically required to file extended health and dental coverage for their employees.
How to fill out extended health and dental?
Extended health and dental forms can be filled out online or submitted through paper forms provided by the insurance provider.
What is the purpose of extended health and dental?
The purpose of extended health and dental coverage is to help individuals access affordable healthcare services and dental care.
What information must be reported on extended health and dental?
Information such as the names of individuals covered, their medical history, and the details of the coverage provided must be reported on extended health and dental forms.
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