Get the free Overage Dependent Annual Inquiry - Laborers Pension and Welfare bb

HEALTH and WELFARE DEPARTMENT of the CONSTRUCTION and GENERAL LABORERS DISTRICT COUNCIL of CHICAGO and VICINITY 11465 CERMAV ROAD WESTCHESTER, ILLINOIS 601545768 May 15, 2013, Telephone: (708) 5620200

How to fill out overage dependent annual inquiry

To fill out the overage dependent annual inquiry, follow these steps:

1. Obtain the overage dependent annual inquiry form from your employer or insurance provider. It may be available online or in printed format.
2. Fill in your personal information accurately, including your name, address, Social Security number, and any other required identification details.
3. Provide information about the dependent for whom this inquiry is being filled out. Include their full name, date of birth, relationship to you, and any other requested information.
4. Answer all the questions regarding the dependent's overage status. This may include verifying if they are still a student, if they are employed, or if they have any other insurance coverage. Be honest and provide any necessary supporting documentation as required.
5. Review the completed form thoroughly to ensure all the information is accurate and legible. Double-check for any omissions or errors.
6. Sign and date the completed form where indicated. If there are additional signature fields for the dependent or anyone else involved, ensure that they also sign the form.

Once the form is filled out, submit it to the appropriate party, such as your employer's HR department or your insurance provider. Be mindful of any deadlines and keep a copy for your records.

The overage dependent annual inquiry is typically needed by employees who have dependents that are no longer eligible for coverage under their employer-sponsored health insurance plan due to age restrictions. This inquiry helps determine if the dependent qualifies for continued coverage based on certain eligibility criteria. It is important to fulfill this requirement to ensure accurate and appropriate coverage for the dependent.

For pdfFiller’s FAQs

What is overage dependent annual inquiry?

Overage dependent annual inquiry is a process to confirm and provide information about dependent children who have reached a certain age and are no longer eligible for coverage under a parent's healthcare plan.

Who is required to file overage dependent annual inquiry?

Employers or healthcare plan administrators are typically required to file the overage dependent annual inquiry.

How to fill out overage dependent annual inquiry?

The overage dependent annual inquiry can be filled out online through the healthcare plan's portal or by submitting a paper form with the necessary information.

What is the purpose of overage dependent annual inquiry?

The purpose of overage dependent annual inquiry is to update the healthcare plan with accurate information about dependents no longer eligible for coverage, ensuring proper enrollment and coverage for all individuals.

What information must be reported on overage dependent annual inquiry?

The overage dependent annual inquiry typically requires information such as the dependent's name, date of birth, relationship to the policyholder, and confirmation of ineligibility for coverage.

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