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City of Boulder Cobra/Retiree 2018 Open Enrollment/Change Form Please return the completed/signed forms to HR/Benefits 3065 Center Green Drive Boulder CO 80301 EMPLOYEE INFORMATION Printed Name: (First)(Middle

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How to fill out 2018 benefits open enrollment-change

01

To fill out the 2018 benefits open enrollment-change form, follow these steps:

02

Obtain the form from your employer or benefits provider.

03

Read the instructions carefully and gather all the necessary information.

04

Provide your personal details such as name, employee ID, and contact information.

05

Review your current benefits and determine which changes you want to make.

06

Make the necessary changes by selecting the appropriate options on the form.

07

Double-check all the information you have provided to ensure accuracy.

08

Sign and date the form.

09

Submit the completed form to your employer or benefits provider by the specified deadline.

Who needs 2018 benefits open enrollment-change?

01

Anyone who is currently enrolled in or eligible for benefits and wishes to make changes for the year 2018 needs to go through the benefits open enrollment-change process. This includes employees, retirees, and dependents who are covered under the benefits program.

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What is benefits open enrollment-change form?

Benefits open enrollment-change form is a document that allows employees to make changes to their benefits coverage during the open enrollment period.

Who is required to file benefits open enrollment-change form?

All employees who wish to make changes to their benefits coverage must file a benefits open enrollment-change form.

How to fill out benefits open enrollment-change form?

Employees can typically fill out the benefits open enrollment-change form online through their company's HR portal or by submitting a paper form to the HR department.

What is the purpose of benefits open enrollment-change form?

The purpose of benefits open enrollment-change form is to give employees the opportunity to review and make changes to their benefits coverage for the upcoming year.

What information must be reported on benefits open enrollment-change form?

Employees must report any changes they wish to make to their medical, dental, vision, life insurance, and other benefit options.

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