Get the free Health Benefits Registration Form - District of Columbia Retirement ... - dcrb dc
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District of Columbia Retirement Board (DCB) Benefits Department 900 7th Street, NW, 2nd Floor ? Washington, DC 20001 Telephone: (202) 343-3272 ? Toll Free: (866) 456-3272 ? Fax: (202) 566-5001 www.dcrb.dc.gov
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What is health benefits registration form?
The health benefits registration form is a document used to enroll in health insurance benefits provided by an employer.
Who is required to file health benefits registration form?
Employees who are eligible for health benefits are required to file the health benefits registration form.
How to fill out health benefits registration form?
To fill out the health benefits registration form, employees must provide personal information, select their desired health insurance plan, and designate beneficiaries if needed.
What is the purpose of health benefits registration form?
The purpose of the health benefits registration form is to enroll eligible employees in employer-provided health insurance benefits.
What information must be reported on health benefits registration form?
The health benefits registration form may require personal information such as name, address, social security number, and dependents' information.
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