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THIS ENROLLMENT APPLICATION IS IN SECTIONSPLEASE REMOVE THIS TAB TO SEPARATE THE SECTIONS BEFORE YOU BEGIN2020Enrollment Form Harvard Pilgrim Health Care Stride (HMO) Medicare Advantage Plan Individual
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To fill out Harvard Pilgrim Health Care, follow these steps:
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Start by gathering all the necessary information you will need to fill out the form. This may include personal details, such as your name, date of birth, and contact information.
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Make sure to have your insurance identification card handy, as you will likely need this information as well.
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Submit the completed form to the appropriate entity, whether that be an employer, insurance company, or healthcare provider.
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If you have any questions or need assistance, don't hesitate to reach out to Harvard Pilgrim Health Care's customer service for guidance.

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Harvard Pilgrim Health Care is a non-profit health services company that provides health insurance coverage to individuals and families in New England.
Employers are typically required to file Harvard Pilgrim Health Care forms on behalf of their employees.
To fill out Harvard Pilgrim Health Care forms, you will need to provide information about the employee's coverage and any dependents who are covered under the plan.
The purpose of Harvard Pilgrim Health Care is to provide individuals and families with access to affordable health insurance coverage.
Information that must be reported on Harvard Pilgrim Health Care forms includes the employee's name, social security number, and details of their health insurance coverage.
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