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+If you are enrolled in Medicare or will become eligible to enroll in Medicare during 2018, a Federal law gives you more choices about your prescription drug coverage. Please see page 15 for more
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To fill out if you are enrolled, follow these steps:
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Obtain the necessary enrollment forms from your educational institution.
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Provide all the required personal information, such as your name, address, and contact details.
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Fill out the sections related to your enrollment status, including your current course or program of study.
05
Complete any additional sections or questions specific to your institution.
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Anyone who is currently enrolled in an educational institution needs to fill out the enrollment form. This includes students pursuing various levels of education, such as primary, secondary, or tertiary education. It is a mandatory requirement for maintaining enrollment status and ensuring that the institution has accurate information about the enrolled individuals.
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