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Transitional Participation Coverage EnrollmentPlease print, complete, and mail, fax, or email this form to the Board of Pensions. Use this form to continue Benefits Plan participation when you are
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Transitional participation coverage enrollment refers to the process of enrolling individuals in a temporary health insurance plan while they transition between different insurance programs.
Employers are required to file transitional participation coverage enrollment for their employees who are eligible for the temporary health insurance plan.
Transitional participation coverage enrollment can be filled out online through the designated portal provided by the insurance company.
The purpose of transitional participation coverage enrollment is to ensure that individuals have health insurance coverage during a period of transition between different insurance programs.
Information such as the employee's name, date of birth, social security number, and dependent information must be reported on transitional participation coverage enrollment.
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