
Get the free Employer/Union Sponsored Group Health Plans ... - CMS.gov
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U N I O N H E A LT H S E R V I CE Medicare Plan DESIGNED FOR FORMER UNION MEMBERS WHO Are ELIGIBLE? VI individual members and/or family members who are 65 years or older and retired (not covered through
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How to fill out employerunion sponsored group health

How to fill out employerunion sponsored group health
01
Obtain the necessary forms from your employer's HR department.
02
Fill out your personal information, including your name, address, and contact details.
03
Provide your employment details, such as your job title, start date, and salary information.
04
Indicate your desired coverage options, such as medical, dental, and vision.
05
Include information about your dependents, if applicable.
06
Sign and date the form.
07
Submit the completed form to your employer's HR department.
Who needs employerunion sponsored group health?
01
Employees who are eligible for employer-union sponsored group health include:
02
- Full-time employees who work a certain number of hours per week or month.
03
- Part-time employees who meet the eligibility criteria set by their employer and the union.
04
- Employees who want access to affordable health insurance coverage.
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- Employees who prefer the convenience and simplicity of having their health insurance provided through their employer and union.
06
- Employees who have dependents and want to ensure they have coverage as well.
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