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2022 RETIREE BENEFIT ENROLLMENT & CHANGE FORM FOR RETIREES OF WAIF PARTICIPATING EMPLOYERSComplete and mail (or email) this form to enroll and/or register changes in your and/or your dependent(s)
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How to fill out 2022 pre-medicare retiree enrollment

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How to fill out 2022 pre-medicare retiree enrollment

01
Obtain the 2022 pre-Medicare retiree enrollment form from your employer or the insurance company.
02
Read through the instructions and familiarize yourself with the required information.
03
Fill in your personal details such as your name, date of birth, and contact information.
04
Provide the necessary information regarding your current health insurance coverage.
05
Indicate any dependents that need to be included in the enrollment.
06
Review the form for accuracy and completeness before submitting it.
07
Sign and date the form.
08
Submit the completed form as instructed, either by mail or electronically.
09
Keep a copy of the filled-out form for your records.

Who needs 2022 pre-medicare retiree enrollment?

01
Anyone who is planning to retire and is not yet eligible for Medicare can benefit from the 2022 pre-Medicare retiree enrollment. This is particularly important for individuals who want to ensure continuity of their health insurance coverage during the transition from employer-sponsored healthcare to Medicare. It allows retirees to enroll in a supplemental health insurance plan that bridges the gap until they become eligible for Medicare. It is also relevant for dependents of retirees who need to be included in the enrollment.
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It is a process where retired individuals make changes to their healthcare coverage before becoming eligible for Medicare.
Retirees who have healthcare coverage through their former employer and are not yet eligible for Medicare.
Retirees can fill out the enrollment change form provided by their former employer and submit it by the deadline.
The purpose is to make any necessary changes to healthcare coverage before transitioning to Medicare.
Retirees must report any changes to their healthcare plan, dependent coverage, and contact information.
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