Get the free 2018 Benefit Enrollment Form for active EEs. 2018 Benefit Enrollment Form

2018 Benefits Enrollment Form Tobacco Attestation The University of Missouri System promotes and supports healthy lifestyles for our faculty and staff through both our benefits and wellness programs.

How to fill out 2018 benefit enrollment form

How to fill out 2018 benefit enrollment form

1. Start by reviewing the instructions provided with the 2018 benefit enrollment form.
2. Collect all necessary personal information such as your full name, date of birth, and Social Security number.
3. Provide details about your current health insurance coverage, if applicable.
4. Indicate your dependent's information, such as their names and relationship to you.
5. Choose the benefit options you wish to enroll in for the year 2018, such as medical, dental, vision, etc.
6. Review and double-check all the information filled out in the form for accuracy.
7. Sign and date the form to confirm your enrollment choices.
8. Submit the completed form to the appropriate department or individual as instructed.

Who needs 2018 benefit enrollment form?

1. Any individual who is eligible and wishes to enroll in the benefit program for the year 2018 needs to fill out the 2018 benefit enrollment form. This includes employees, retirees, and any eligible family members who wish to receive benefits.

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