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SOLIS UNION SCHOOL DISTRICT RETIREE DENTAL PLAN ELECTION FORM Plan Year October 1, 2018, September 30, 2019I, understand that as a retiree of the Solis Union School District, I am eligible to continue

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How to fill out retiree dental plan election

01

Step 1: Obtain the retiree dental plan election form from your employer or retirement benefits office.

02

Step 2: Read and understand the instructions on the form carefully.

03

Step 3: Fill out the personal information section, including your full name, date of birth, and contact details.

04

Step 4: Provide your retiree identification number and any other relevant identification information as specified.

05

Step 5: Review the available dental plan options, including the coverage and cost details.

06

Step 6: Select the dental plan that best meets your needs and preferences.

07

Step 7: Indicate your choice by checking the appropriate box or filling in the provided space.

08

Step 8: If necessary, include any additional documents or supporting materials as specified on the form.

09

Step 9: Double-check all the information provided and make sure it is accurate and complete.

10

Step 10: Sign and date the form in the designated area.

11

Step 11: Submit the filled-out retiree dental plan election form to the appropriate authority as instructed.

12

Step 12: Keep a copy of the filled-out form for your records.

Who needs retiree dental plan election?

01

Retirees who are eligible for dental insurance coverage through their former employer or retirement benefits program.

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What is retiree dental plan election?

Retiree dental plan election is the process of choosing and enrolling in a dental plan specifically designed for retirees.

Who is required to file retiree dental plan election?

Retirees who are eligible for the retiree dental plan are required to file the election.

How to fill out retiree dental plan election?

Retirees can fill out the retiree dental plan election by following the instructions provided by the plan administrator.

What is the purpose of retiree dental plan election?

The purpose of retiree dental plan election is to ensure retirees have access to dental coverage after retirement.

What information must be reported on retiree dental plan election?

The retiree dental plan election must include personal information, chosen plan, and any eligible dependents.

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