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HR39614AFSCME MEDICAL AND DENTAL CARE
FOR EMPLOYEES REPRESENTED BY AFSCMENOTICE OF PREVENTATIVE MEDICAL AND DENTAL CARE APPOINTMENT
FOR AFSCMEREPRESENTED EMPLOYEES ONLY1
*TO BE COMPLETED BY EMPLOYEE*
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How to fill out afscme medical and dental
How to fill out afscme medical and dental
01
To fill out AFSCME medical and dental form, follow these steps:
02
Obtain the AFSCME medical and dental form from your employer or the AFSCME website.
03
Fill out your personal information including your name, contact information, and employee ID number.
04
Provide details about your current healthcare coverage, if applicable.
05
Indicate the type of coverage you are seeking - medical, dental, or both.
06
Provide information about your dependents, if any, who also need coverage.
07
Review the form for accuracy and completeness.
08
Sign and date the form.
09
Submit the completed form to your employer or the designated authority.
Who needs afscme medical and dental?
01
AFSCME medical and dental coverage is typically needed by employees who are members of AFSCME (American Federation of State, County and Municipal Employees) or have eligibility for such coverage through their employment. These benefits may be offered to both full-time and part-time employees as part of their overall employee benefits package.
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