Get the free RCUH Group Health Enrollment Form (B-5Ha)
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RCH Group Health Enrollment Form (B5Ha) Instructions Open Enrollment Deadline: May 15, 2019, Section I: Dental Insurance Section A: Select if Dental Insurance is for new enrollment or change in coverage.
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How to fill out rcuh group health enrollment
How to fill out rcuh group health enrollment
01
To fill out the RCUH Group Health Enrollment, follow these steps:
02
Obtain the enrollment form from the RCUH Human Resources department.
03
Provide all required personal information, including your name, address, date of birth, and social security number.
04
Select the appropriate health plan option that best suits your needs.
05
Indicate whether you are covering only yourself or if you have dependents that need to be included in the enrollment.
06
Submit any supporting documentation or proof of eligibility, if required.
07
Sign and date the form to certify the accuracy of the information provided.
08
Return the completed form to the RCUH Human Resources department by the specified deadline.
09
Keep a copy of the filled-out form for your records.
10
Wait for confirmation of your enrollment from RCUH Human Resources.
Who needs rcuh group health enrollment?
01
Any employee of the Research Corporation of the University of Hawaii (RCUH) who is eligible for group health benefits needs to fill out the RCUH Group Health Enrollment. This includes new employees, employees who experience a qualified life event, or employees who wish to change their current health plan coverage.
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What is rcuh group health enrollment?
RCUH group health enrollment is the process of enrolling eligible employees in health insurance plans offered by the Research Corporation of the University of Hawaii (RCUH).
Who is required to file rcuh group health enrollment?
All eligible employees of RCUH are required to file for group health enrollment.
How to fill out rcuh group health enrollment?
RCUH group health enrollment can be filled out online through the RCUH employee portal or by submitting paper forms to the HR department.
What is the purpose of rcuh group health enrollment?
The purpose of RCUH group health enrollment is to provide eligible employees with access to health insurance coverage.
What information must be reported on rcuh group health enrollment?
RCUH group health enrollment form typically requires personal information, dependent details, and plan selection.
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