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DEPENDENT DENTAL AND VISION WAIVER OF COVERAGEInstructions Employees who waive Vision and/or Dental for their dependents must complete the relevant sections of this form. Dependent Vision Waiver (Print

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What is dependent - dental and?

Dependent - dental and refers to the dental coverage provided to dependents of the main policyholder.

Who is required to file dependent - dental and?

The main policyholder is required to file dependent - dental and for their dependents.

How to fill out dependent - dental and?

Dependent - dental and can be filled out by providing the necessary information about the dependents and their dental coverage needs.

What is the purpose of dependent - dental and?

The purpose of dependent - dental and is to ensure that the dependents of the main policyholder have access to dental coverage.

What information must be reported on dependent - dental and?

The information required on dependent - dental and includes the names and details of the dependents, their dental history, and coverage needs.

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