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Application for Coverage Individuals and Families (Off Marketplace Only)This application may be used for 2020 individual and family coverage through either Blue Cross Blue Shield of Michigan (BC BSM)
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Review the completed form one final time to ensure that all information is correctly filled and there are no errors or omissions.
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Sign and date the form as per the provided instructions. In some cases, you might need to get the form notarized or witnessed by a designated person.
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Make a copy of the completed form for your records and submit the original form as per the specified method (e.g., mail, online submission, in-person submission).

Who needs plan documents and forms?

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Plan documents and forms are required by various individuals and entities, depending on the specific purpose. Some common groups of people who may need plan documents and forms include:
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- Individuals who are applying for financial planning services
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- Employers who need to create and maintain retirement plan documents for their employees
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Plan documents and forms are official paperwork that outlines the terms and conditions of an employee benefit plan. They provide detailed information about the structure, coverage, and administration of the plan.
Typically, employers that establish employee benefit plans, such as retirement plans and health insurance plans, are required to file the necessary plan documents and forms.
To fill out plan documents and forms, follow the instructions provided with each document carefully, ensure you have all necessary information about the plan and participants, and review for accuracy before submission.
The purpose of plan documents and forms is to provide regulatory bodies with necessary information regarding the design and operation of benefit plans, ensuring compliance with applicable laws.
Information that must be reported includes plan type, eligibility requirements, benefit calculations, funding details, and administrative procedures.
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