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FORM A EMPLOYEE INFORMATION First Name Middle Initial Last Name Suffix SSN ? ? Gender Date of Birth (mm/dd/YYY) Salary Begin Date (mm/dd/YYY) Male Female / /
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How to fill out opers application - co

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How to fill out OPERS application - CO:

01
Start by gathering all necessary documents and information, such as your personal identification details, employment history, and any relevant financial or medical records.
02
Access the official OPERS website or visit a local OPERS office to obtain the application form. Ensure you have the correct version for a CO (Change of Coverage) application.
03
Begin filling out the application form by entering your personal information accurately, including your full name, date of birth, and social security number.
04
Provide details of your current employment, including your job title, employer's name, and contact information. Indicate whether you are a public employee or a spouse/domestic partner of a public employee.
05
If you are applying for a change of coverage due to a life event, such as marriage, divorce, or birth/adoption of a child, provide the necessary details and required documentation.
06
Proceed to the section related to your current coverage. Specify the health care plan you are currently enrolled in and the effective date of coverage.
07
Indicate the reason for the change in coverage and select the desired new health care plan from the available options. Provide any additional information or preferences related to your choice.
08
If applicable, provide details of any dependents who will be covered under your new plan and ensure you include their full names, relationship to you, and their dates of birth.
09
Review your completed application form thoroughly to ensure accuracy and completeness. Make any necessary corrections or adjustments.
10
Sign and date the application form, certifying that all information provided is true and accurate to the best of your knowledge.
11
Submit the filled-out OPERS application - CO along with any required supporting documents to the designated OPERS office either in person, by mail, or through an online submission system if available.

Who needs OPERS application - CO:

Individuals who are currently enrolled in a specific health care plan provided by OPERS (Ohio Public Employees Retirement System) and wish to make changes to their coverage, such as switching plans, adding or removing dependents, or updating information due to a qualifying life event, need to fill out OPERS application - CO. This is applicable to public employees and their eligible spouses/domestic partners who are covered under a health care plan through OPERS. It is essential to complete the application accurately and in a timely manner to ensure the desired changes are implemented effectively.
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OPERS application - co stands for Ohio Public Employees Retirement System application for companies.
Any company in Ohio that employs public employees and is required to contribute to the Ohio Public Employees Retirement System is required to file OPERS application - co.
OPERS application - co can be filled out online on the Ohio Public Employees Retirement System website. Companies must provide detailed information about their employees and contributions.
The purpose of OPERS application - co is to ensure that companies properly contribute to the Ohio Public Employees Retirement System for the benefit of their public employees.
On OPERS application - co, companies must report detailed employee information, contribution amounts, and other relevant financial information.
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