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My 2019SHBP ACTIVE MEMBER DECISION GUIDE Open Enrollment October 15 November 2, 2018 12019 Active Member Decision Guide WWW.MYSHBPGA.ADP.COGITATE HEALTH BENEFIT PLAN RESOURCES/CONTACT INFORMATION
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How to fill out request an open enrollment

01
Step 1: Start by locating the open enrollment form. This form is typically available on your employer's website or can be obtained from HR.
02
Step 2: Carefully review the instructions and requirements mentioned on the form.
03
Step 3: Gather all the necessary information and documents needed to complete the form. This may include personal identification, health insurance details, dependent information, and any other relevant documentation.
04
Step 4: Fill out the form accurately and completely. Ensure that all the information provided is correct and up-to-date.
05
Step 5: Double-check the completed form for any errors or missing information.
06
Step 6: Submit the filled out form to the designated department or individual according to the instructions provided. This can be done electronically or through physical submission.
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Step 7: Keep a copy of the submitted form for your records and ensure that it is received by the intended recipient.
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Step 8: Follow up with the HR department or concerned personnel to confirm the successful submission of your open enrollment request.

Who needs request an open enrollment?

01
Anyone who is eligible for open enrollment provided by their employer needs to request an open enrollment. Typically, this includes employees who wish to make changes to their current insurance coverage or enroll in benefits for the first time. It is important to check with your employer regarding their specific open enrollment policies and deadlines.
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Request an open enrollment is the process of applying to change your current health insurance plan outside of the annual enrollment period.
Anyone who wishes to change their current health insurance plan outside of the annual enrollment period is required to file a request for open enrollment.
To fill out a request for open enrollment, you must contact your insurance provider or visit their website to access the necessary forms and submit them with any required documentation.
The purpose of request an open enrollment is to allow individuals to make changes to their health insurance plans outside of the traditional enrollment period.
The information required on a request for open enrollment typically includes personal information, current insurance plan details, reasons for requesting the change, and any supporting documentation.
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