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2018 EPIC BENEFITS+ ANNUITANT SPECIAL ENROLLMENT FORM Enrollment period of October 2 October 27, 2017, Coverage Effective January 1, 2018, Please print clearly or type Submit form to EPIC Specialty

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Any individual who is an annuitant and eligible for the 2018 epic benefits can benefit from filling out the 2018 epic benefits annuitant form. This includes retired individuals who receive annuity payments and are entitled to various benefits related to healthcare, insurance, or any other applicable benefits offered by the organization.

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What is epic benefits annuitant special?

Epic Benefits Annuitant Special is a form used to report special pension or retirement benefits received by an annuitant.

Who is required to file epic benefits annuitant special?

Any annuitant who receives special pension or retirement benefits is required to file Epic Benefits Annuitant Special.

How to fill out epic benefits annuitant special?

Epic Benefits Annuitant Special can be filled out by providing the required information about the special pension or retirement benefits received.

What is the purpose of epic benefits annuitant special?

The purpose of Epic Benefits Annuitant Special is to accurately report and document special pension or retirement benefits received by an annuitant.

What information must be reported on epic benefits annuitant special?

On Epic Benefits Annuitant Special, information such as the amount of special pension or retirement benefits received and the source of these benefits must be reported.

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