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Health Insurance 2019
For former employees or dependents
continuing health or dental coverage through
the state employee benefits program (COBRA)Table of Contents
Open Enrollment 2019................................................................................................
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How to fill out continuing health or dental
How to fill out continuing health or dental
01
To fill out continuing health or dental forms, follow the steps below:
02
Obtain the necessary forms from your healthcare provider or insurance company.
03
Read the instructions on the forms carefully to understand the requirements.
04
Provide your personal information, such as name, address, and contact details.
05
Fill in the relevant sections for health or dental information.
06
Ensure all information is accurate and complete.
07
If there are any supporting documents required, gather and attach them to the forms.
08
Review the completed forms for any errors or missing information.
09
Sign and date the forms as required.
10
Submit the forms to the designated recipient, such as your healthcare provider or insurance company.
11
Keep a copy of the filled-out forms for your records.
Who needs continuing health or dental?
01
Anyone who requires continuing health or dental coverage can fill out these forms.
02
This includes individuals who are renewing their existing coverage, making changes to their current coverage, or applying for new coverage.
03
It is important for individuals who want to maintain or obtain health or dental benefits to complete these forms.
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What is continuing health or dental?
Continuing health or dental refers to the ongoing reporting of health or dental insurance coverage.
Who is required to file continuing health or dental?
Individuals who have health or dental insurance coverage are required to file continuing health or dental.
How to fill out continuing health or dental?
Continuing health or dental can be filled out by providing information about the health or dental insurance coverage, including the policy number and coverage period.
What is the purpose of continuing health or dental?
The purpose of continuing health or dental is to ensure that individuals maintain adequate health or dental insurance coverage.
What information must be reported on continuing health or dental?
Information such as the policy number, coverage period, and insurance provider must be reported on continuing health or dental.
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