Get the free Retiree Health Insurance Election Form - Open Enrollment
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CITYOFCHICORETIREEHEALTHINSURANCEELECTIONFORM
OPENENROLLMENT
INSTRUCTIONS:
YourelectionformandallhealthinsurancepremiumpaymentsshouldbesentdirectlytotheCitysRetireeinsuranceadministrator:
Via email:retirees×workterra.com,
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What is retiree health insurance election?
Retiree health insurance election is a process in which retirees choose their health insurance plan.
Who is required to file retiree health insurance election?
Retirees who are eligible for retiree health insurance benefits are required to file retiree health insurance election.
How to fill out retiree health insurance election?
Retirees can fill out retiree health insurance election by following the instructions provided by their employer or insurance provider.
What is the purpose of retiree health insurance election?
The purpose of retiree health insurance election is to allow retirees to select a health insurance plan that meets their needs.
What information must be reported on retiree health insurance election?
Retirees must report their personal information, dependent information, and plan selection on retiree health insurance election.
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