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GROUP INSURANCE ENROLLMENT FORM AND CHANGE REQUESTCompanion Life Insurance Company P.O. Box 100102 Columbia, S.C. 292023102 8007530404 (Phone) 8008365433 (Fax) New Employee Add/Increase Coverage Change
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How to fill out change dependent coverage

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How to fill out change dependent coverage

01
Obtain the necessary change dependent coverage form from your insurance provider.
02
Fill out the form with accurate and up-to-date information including your name, contact details, policy number, and the names and details of the dependents you wish to add or remove from your coverage.
03
Provide any supporting documentation or proof of eligibility for the dependents you are adding, such as marriage certificates or birth certificates.
04
Review the completed form to ensure all information is accurate and complete.
05
Sign and date the form.
06
Submit the form back to your insurance provider through the designated channel. This could be via mail, email, or online submission.
07
Keep a copy of the completed form for your own records.
08
Follow up with your insurance provider to confirm that the changes to your dependent coverage have been successfully processed.

Who needs change dependent coverage?

01
Anyone who has insurance coverage and has dependents, such as a spouse or children, may need to consider change dependent coverage. This allows individuals to add or remove dependents from their insurance policy based on changes in their marital status, the birth or adoption of a child, or other qualifying events. It is important to review your policy and consider change dependent coverage if you have experienced any relevant life events that impact your dependent coverage needs.
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Change dependent coverage refers to the ability to make changes to an existing health insurance policy to add or remove dependents.
Employers and individuals who experience a qualifying life event are required to file change dependent coverage.
Change dependent coverage can be filled out online through the health insurance provider's website or by contacting their customer service.
The purpose of change dependent coverage is to ensure that the health insurance policy accurately reflects the current dependents covered.
The information that must be reported on change dependent coverage includes the names, birthdates, and relationship of the dependents being added or removed.
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