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Get the free 2017-18 Anthem Member Change Form - Open Enrollment

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Member Change Form OPEN ENROLLMENT Instructions: Please complete in ink and return to your employer. Use extra sheets of paper if necessary. Primary Care Physician (PCP) listings can be obtained through
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How to fill out 2017-18 anthem member change

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How to fill out 2017-18 anthem member change

01
To fill out the 2017-18 Anthem member change form, follow these steps:
02
Start by obtaining the correct form from the Anthem website or your healthcare provider.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide your Anthem member identification number or any other required identification information.
05
Indicate the changes you want to make to your Anthem membership, such as adding or removing dependents or changing your coverage plan.
06
If applicable, include any supporting documentation, such as birth certificates or marriage certificates, to verify the changes you are requesting.
07
Review the completed form for accuracy and make any necessary corrections.
08
Sign and date the form to certify that the information provided is accurate and complete.
09
Submit the form to Anthem either online or by mail, following the instructions provided.
10
Keep a copy of the filled-out form for your records.
11
Wait for confirmation from Anthem regarding the changes made to your membership.

Who needs 2017-18 anthem member change?

01
The 2017-18 Anthem member change is needed by individuals who are currently enrolled in an Anthem healthcare plan and wish to make changes to their membership. This could include adding or removing dependents, adjusting coverage plans, or updating personal information. It is important for individuals who have experienced life events, such as marriage, divorce, the birth of a child, or a change in eligibility, to fill out the member change form to ensure their healthcare coverage accurately reflects their current circumstances.
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18 anthem member change refers to the process of updating the list of members covered under the Anthem insurance policy.
The policyholder or the authorized representative is required to file 18 anthem member change.
To fill out 18 anthem member change, the policyholder must access the online portal or contact the Anthem customer service to update the member information.
The purpose of 18 anthem member change is to ensure that the list of covered members is accurate and up-to-date.
The policyholder must report the names, dates of birth, and relationship to the policyholder of all covered members.
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