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2015 OPEN ENROLLMENT ELECTION FORM Open Enrollment Forms MUST be received in the Consolidated Benefits Office (CBO) or placed in a Drop Box by 5:00 p.m. on Friday, October 24, 2014. Faxed forms NOT
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How to fill out open enrollment election form

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How to fill out open enrollment election form:

01
Start by reviewing the instructions provided with the form. Make sure you understand the purpose of the form and the information you are required to provide.
02
Gather all necessary documents and information before starting to fill out the form. This may include personal details, such as your name, address, and social security number, as well as any dependents or beneficiaries you need to include.
03
Carefully read each section of the form and fill in the requested information accurately. Double-check your entries for any errors or omissions.
04
Pay attention to any deadlines or specific instructions mentioned on the form. Make sure to submit the completed form within the designated timeframe.
05
If you encounter any difficulties or have questions while filling out the form, reach out to the proper authority or contact the organization sponsoring the open enrollment to seek clarification or assistance.
06
Once you have completed the form, review it one more time to ensure all information is correct and complete. Sign and date the form, if required, and keep a copy for your records.
07
Submit the filled-out form according to the instructions provided, whether it is by mail, online submission, or in-person delivery.

Who needs open enrollment election form:

01
Employees who are eligible for employer-sponsored health insurance or benefits typically need to complete an open enrollment election form. This includes individuals who are currently enrolled in the plan, as well as those who wish to make changes or enroll for the first time.
02
Dependents and beneficiaries, such as spouses or children, may also need to be included on the open enrollment election form if they are eligible for coverage or benefits through the employer.
03
Open enrollment is usually an annual event that allows individuals to review and select their health insurance plans or other benefit options. Hence, anyone covered by the employer's insurance or benefits programs should complete the open enrollment election form during the designated period.
Remember, it is essential to consult with the specific organization or employer sponsoring the open enrollment to ensure you follow their guidelines and procedures accurately.
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Open enrollment election form is a form that allows individuals to select or change their benefits during a specified enrollment period.
All employees who wish to make changes to their benefits or enroll in new benefits are required to file the open enrollment election form.
To fill out the form, employees need to provide their personal information, select the benefits they wish to enroll in or change, and sign the form to indicate their choices.
The purpose of the form is to allow employees to make changes to their benefits selection during the open enrollment period.
The form typically requires employees to report their personal information, such as name, address, and social security number, as well as their benefit selections.
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