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Get the free For a SelectHealth Change form, click here. - Carpenterssw.org - carpenterssw

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4646 West Lake Park Boulevard, Salt Lake City, UT 84120-8212 801-442-5038/800-538-5038 www.selecthealth.org Change Form Employee Name Member ID# EMPLOYEE INFORMATION CHANGE Name Change New Mailing
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How to fill out for a selecthealth change

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How to fill out for a selecthealth change:

01
Visit the official SelectHealth website.
02
Locate the "Change Request" or "Plan Change" section on the website.
03
Fill out the required personal information, such as your name, address, and contact information.
04
Provide your current SelectHealth plan details, including your plan ID number and the effective date of your current plan.
05
Indicate your desired changes, such as switching to a different SelectHealth plan or adding or removing dependents from your current plan.
06
Review the information you have entered to ensure accuracy and completeness.
07
Submit the form according to the instructions provided on the website or by mail, if applicable.

Who needs a SelectHealth change:

01
Individuals who are currently enrolled in a SelectHealth insurance plan and want to make changes to their coverage.
02
Individuals who have experienced life events, such as marriage, birth of a child, or change in employment, that make them eligible for a SelectHealth change.
03
Individuals who have changed their healthcare needs and require a different SelectHealth plan to suit their current situation.
04
Individuals who are unsatisfied with their current SelectHealth plan and wish to explore other options available.
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A selecthealth change refers to making changes to your selecthealth plan, such as updating information or selecting a new plan option.
Individuals who are enrolled in a selecthealth plan may be required to file for a selecthealth change if they need to update their information or make changes to their plan.
To fill out for a selecthealth change, you will need to contact your selecthealth provider or visit their website to access the necessary forms and instructions.
The purpose of a selecthealth change is to ensure that your selecthealth plan accurately reflects your current information and meets your healthcare needs.
Information that may need to be reported on for a selecthealth change includes changes in personal information, updates to your healthcare needs, or selecting a new plan option.
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