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Get the free IF ENROLLING DEPENDENTS, COMPLETE DEPENDENT INFORMATION ON PAGE 2 OF THIS FORM

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20172018OPT ENROLLMENT Formosan Jose City CollegeInternational Student Insurance Incomplete the information below. Please print clearly and answer all questions, then mail to the address below prior
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01
To fill out if enrolling dependents, complete the following steps:
02
Begin by accessing the enrollment form or application.
03
Look for a section or question that specifically asks about dependents.
04
Provide the required information for each dependent, such as their full name, date of birth, and relationship to the primary enrollee.
05
Double-check all the details provided to ensure accuracy.
06
If there is more than one dependent, repeat the process for each individual.
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Once all the dependent information has been filled out, proceed with completing the rest of the form or application.
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Submit the form as instructed, either online or by mail.
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Keep a copy of the completed form for your records.

Who needs if enrolling dependents complete?

01
Anyone who is enrolling dependents will need to fill out this section of the form or application. This includes individuals who have children, spouses, or any other qualified dependents that they wish to enroll in a particular program or benefits package.
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Enrolling dependents complete allows individuals to include family members on their healthcare plan.
Individuals who have dependents that they wish to enroll in their healthcare plan are required to file if enrolling dependents complete.
To fill out if enrolling dependents complete, individuals must provide information about their dependents, including their names, dates of birth, and relationship to the primary plan holder.
The purpose of if enrolling dependents complete is to ensure that all eligible family members are included on the primary plan holder's healthcare plan.
Information such as the names, dates of birth, and relationship to the primary plan holder of the dependents must be reported on if enrolling dependents complete.
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