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Americas Group Vision Enrollment Form Employer Name Employee Name Date of Birth Social Security Number Home Address Date of Employment Occupation Hours worked per week Plan Selected (circle one) High

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What is ameritas group vision enrollment?

Ameritas group vision enrollment is the process of enrolling in a vision insurance plan offered by Ameritas.

Who is required to file ameritas group vision enrollment?

All employees who are eligible for the vision insurance plan are required to file Ameritas group vision enrollment.

How to fill out ameritas group vision enrollment?

To fill out Ameritas group vision enrollment, employees need to provide their personal information, choose a plan option, and select any additional coverage.

What is the purpose of ameritas group vision enrollment?

The purpose of Ameritas group vision enrollment is to allow employees to enroll in a vision insurance plan and access vision care benefits.

What information must be reported on ameritas group vision enrollment?

Employees must report their personal information, dependent information if applicable, and any requested plan selections on Ameritas group vision enrollment.

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