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TASCCOBRAandRetireeBillingOpenEnrollmentRequestForm ComplianceNote:COBRAlawmandatesthatanOpenEnrollmentperiodbeextendedtoCOBRAparticipantsinthe samemannerthatisextendedtoactiveemployees. PleasecompleteyourOpenEnrollmentRequestandreturntoTASCviaemailatcobra.renewals@tasconline
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The co-6018-081117 open enrollment request is a form used to enroll individuals in a specific health plan during the open enrollment period.
Individuals who wish to enroll in a health plan or make changes to their current enrollment are required to file the co-6018-081117 open enrollment request.
To fill out the co-6018-081117 open enrollment request, individuals should provide personal information, select their desired health plans, and sign the form as necessary.
The purpose of the co-6018-081117 open enrollment request is to facilitate the process of enrolling individuals in health insurance plans during the designated open enrollment period.
The information that must be reported includes personal identification details, choices of health plans, and any dependent information if applicable.
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