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BRIGGS ELEMENTARY SCHOOL DISTRICT
RETIREE HEALTH PLAN ELECTION FORM
Plan Year October 1, 2018, September 30, 2019I, understand that as a retiree of the Briggs Elementary School District, I
am eligible
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How to fill out retiree health plan election

How to fill out retiree health plan election
01
To fill out the retiree health plan election, follow these steps:
02
Gather all the necessary information, such as your personal details and health plan options.
03
Review the available retiree health plan options and their associated benefits, coverage, and costs.
04
Consider your health needs, preferences, and budget when choosing a retiree health plan.
05
Complete all the required enrollment forms accurately and provide any supporting documents if needed.
06
Double-check all the information provided and make sure it is correct before submitting the enrollment forms.
07
Submit the completed retiree health plan election forms to the appropriate authority within the given deadline.
08
Keep a copy of all the submitted documents for your records.
09
Await confirmation of your retiree health plan enrollment and review the received documents for accuracy.
Who needs retiree health plan election?
01
Any retiree who is eligible for a retiree health plan and wishes to receive healthcare coverage after retirement needs to fill out a retiree health plan election. It is important to carefully consider your healthcare needs and make an informed decision about choosing a retiree health plan.
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