Get the free 2015 Kaiser Medical Enrollment Form - LACERS - lacers
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Print Reset Page 202 W. First Street, Suite 500 Los Angeles, CA 90012-4401 (800) 779-8328 TDD (888) 349-3996 Fax: (213) 473-7297 www.LACERS.org Medical Plan Enrollment Form (for Kaiser Permanent ONLY)
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How to fill out 2015 kaiser medical enrollment
How to fill out 2015 Kaiser medical enrollment:
01
Start by gathering all the necessary information and documents required for enrollment, such as personal identification, proof of residency, and income details.
02
Visit the Kaiser Permanente website or contact their customer service to obtain the enrollment form for the year 2015.
03
Carefully read through the instructions provided on the enrollment form to understand the requirements and any specific guidelines.
04
Fill out the form accurately and legibly, providing all the requested information, including your personal details, contact information, and any relevant medical history.
05
Pay attention to any sections that require you to indicate your preferred medical plan or select additional coverage options, such as dental or vision care.
06
If you have any dependents, make sure to include their information in the appropriate sections of the form.
07
Double-check all the filled-out information, ensuring there are no errors or missing details.
08
If required, attach any supporting documents or additional forms as specified by the enrollment instructions.
09
Once you have completed the form and verified all the information, sign and date the enrollment form.
10
Submit the filled-out enrollment form either online, by mail, or in-person, following the instructions provided by Kaiser Permanente.
Who needs 2015 Kaiser medical enrollment?
01
Individuals who are currently without any health insurance coverage and require access to medical services.
02
Those who are dissatisfied with their current health insurance plan and wish to switch to Kaiser Permanente for the year 2015.
03
Employees of companies that offer Kaiser Permanente as an option for health insurance and need to enroll or re-enroll for the year 2015.
04
Individuals who have experienced certain life events, such as getting married, having a child, or moving to a new area, which necessitate updating their health insurance coverage.
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