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CHOICES 20172018 COBRA Annual Enrollment Form Montana University System Benefits Plan MedicalTotal Monthly CostsChoose one plan and indicate the number of covered adults and/or children:Employee or
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01
Start by gathering all the necessary documents, including your personal information, employment details, and healthcare coverage information.
02
Begin by filling out the basic information section, including your name, address, and contact details.
03
Provide your employment details, such as the name of your employer and your job title.
04
Indicate the coverage period for the COBRA annual plan by entering the start and end dates.
05
Select the appropriate choices for your healthcare coverage for the 2017-2018 period. This may include selecting specific healthcare providers or plans.
06
Double-check all the entered information for accuracy and completeness.
07
Once you are satisfied with the information provided, submit the filled-out form to the appropriate authority for processing.
08
Keep a copy of the completed form for your records.

Who needs choices 2017-2018 cobra annual?

01
Individuals who were covered under a COBRA health insurance plan during the 2017-2018 period and need to make choices regarding their annual COBRA coverage for that specific period.
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COBRA annual enrollment allows individuals who have lost health coverage to continue receiving benefits by paying premiums.
Employees who have been terminated or have experienced a reduction in hours are required to file COBRA annual enrollment.
To fill out COBRA annual enrollment, individuals must complete the necessary forms provided by their employer or insurance provider.
The purpose of COBRA annual enrollment is to provide individuals with continued access to health coverage after experiencing a qualifying event.
COBRA annual enrollment typically requires individuals to report personal information, coverage options, and payment preferences.
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