Get the free 2013 Enrollment Form - Oregon.gov - oregon
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Health Insurance Enrollment Form 1225 Ferry St SE, Ste B, Salem, OR 97301-4278 Telephone: 503-364-4822 or toll-free 866-364-4822 Fax: 503-378-5832 www.oregon.gov/oha/ohip Email: ship. Benefits state.or.us
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How to fill out 2013 enrollment form
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01
Start by gathering all the necessary information such as personal details, contact information, and any relevant documents or identification.
02
Carefully read through the instructions provided with the form to understand the requirements and guidelines for filling it out.
03
Begin by entering your name, address, and contact information in the designated fields.
04
Provide any additional details requested, such as your date of birth, social security number, or insurance information.
05
If applicable, indicate your marital status, number of dependents, and their relevant information.
06
Pay attention to any sections that require you to choose or select options, such as preferred healthcare plans or coverage options.
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Sign and date the form where indicated, and enclose any supporting documents if required.
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Keep a copy of the filled-out form and supporting documents for your records.
Who needs 2013 enrollment form:
01
Individuals who are applying for healthcare coverage or insurance plans for the year 2013.
02
Employers or human resource personnel responsible for enrolling employees in company-sponsored healthcare plans for the year 2013.
03
Organizations or agencies involved in providing government-assisted healthcare programs that require enrollment forms for the year 2013.
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What is enrollment form - oregongov?
Enrollment form - oregongov is a form used by businesses in Oregon to register with the state and report various information.
Who is required to file enrollment form - oregongov?
All businesses operating in Oregon are required to file the enrollment form - oregongov.
How to fill out enrollment form - oregongov?
The enrollment form can be filled out online on the official oregongov website or submitted via mail.
What is the purpose of enrollment form - oregongov?
The purpose of the enrollment form - oregongov is to register businesses with the state and collect necessary information for tax and regulatory purposes.
What information must be reported on enrollment form - oregongov?
Businesses must report details such as company name, address, ownership information, and nature of business activities on the enrollment form - oregongov.
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