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University of Vermont Health Network Champlain Valley Physicians Hospital FAMILY MEDICINE RESIDENT EMPLOYMENT AGREEMENTS AGREEMENT, made the day of, 20, by and between University of Vermont Health

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1. Visit the University of Vermont Health website.
2. Go to the 'Forms' section and find the 'Health Insurance Enrollment Form'.
3. Download and print the form.
4. Fill out your personal information including your name, date of birth, and student ID number.
5. Provide your current address and contact information.
6. Choose your desired coverage start date and select the appropriate plan.
7. Complete the insurance information section, including policy number and primary insured's name.
8. Sign and date the form.
9. Submit the completed form either by mail or in person to the University of Vermont Health office.

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University of Vermont Health is a healthcare system that includes various medical facilities and services.

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All employees and individuals who are enrolled in the University of Vermont Health insurance plan are required to file.

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The purpose of University of Vermont Health is to provide healthcare coverage and services to its employees and members.

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You must report your personal information, dependent information, and any changes in your healthcare coverage.