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2020Kern County Retiree MEMBER INFORMATION (Please Print) LAST FIRST NAME NONEFFECTIVE: FIRST NAMEMIHOME ADDRESSSOCIAL SECURITY NUMERATE OF BIRTHCITYSTATEZIPGENDER (M/F)HOME PHONE NUMBERMEMBER PRIMARY
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01
To fill out the Kern Legacy Classic Choice form, follow these steps:
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Start by providing your personal information, such as your name, address, date of birth, and contact details.
03
Specify the plan options you are interested in, including the coverage and benefits you desire.
04
If applicable, indicate any riders or additional coverage you wish to add to your policy.
05
Review the premium payment options and select the one that works best for you.
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Provide any requested medical information or answer health-related questions truthfully and accurately.
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Carefully read the terms and conditions of the policy before signing and dating the form.
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Finally, submit the completed Kern Legacy Classic Choice form along with any necessary supporting documents to the designated recipient or insurance provider.

Who needs kern legacy classic choice?

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Kern Legacy Classic Choice is designed for individuals who are looking for a comprehensive insurance plan that offers a range of coverage options and benefits. It is suitable for anyone who wants to protect themselves and their loved ones financially in the event of unexpected medical expenses, hospitalization, or other healthcare needs. This insurance coverage can be beneficial for people of all ages and backgrounds, providing peace of mind and financial security.
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Kern Legacy Classic Choice is a retirement plan offered to Kern County employees.
All Kern County employees eligible for the retirement plan are required to file Kern Legacy Classic Choice.
Kern Legacy Classic Choice can be filled out online or through paper forms provided by the county HR department.
The purpose of Kern Legacy Classic Choice is to allow employees to choose their retirement plan options.
Employees must report their personal information, employment details, and retirement plan choices on Kern Legacy Classic Choice form.
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