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Opt-out of City Medical Plan Coverage
Employee Attestation
Name (First Middle Last):
Department:
Daytime telephone number ()Email:WAIVER OF COVERAGE CONSIDERATIONS
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What is opt-out of city medical?
Opt-out of city medical is a process where individuals can choose to not participate in the city's medical program.
Who is required to file opt-out of city medical?
Employees who have alternative medical coverage through a spouse or another employer are usually required to file opt-out of city medical.
How to fill out opt-out of city medical?
Employees can typically fill out opt-out of city medical forms online or through their HR department.
What is the purpose of opt-out of city medical?
The purpose of opt-out of city medical is to ensure that individuals who are eligible for other medical coverage do not double dip by also using the city's medical benefits.
What information must be reported on opt-out of city medical?
Typically, individuals need to provide details about their alternative medical coverage, such as the name of the insurance provider and policy number.
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