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INDIANA UNIVERSITYOPEN ENROLLMENT 2022 BENEFIT ENROLLMENT FORMDHUMAN RESOURCESSECTION 1PARTICIPANT INFORMATION Last Name:First Name:Middle Initial:10digit University ID: Campus:BloomingtonDate of
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How to fill out iu 2022 open enrollment

01
Open the IU 2022 enrollment form.
02
Read the instructions carefully.
03
Provide your personal information like name, address, and contact details.
04
Select the desired coverage options for health insurance plans.
05
Fill in the information about any dependents you want to enroll.
06
Choose additional coverage options if applicable.
07
Review the completed form and make sure all the information is accurate.
08
Sign the form and submit it as instructed.
09
Keep a copy of the filled form for your records.

Who needs iu 2022 open enrollment?

01
Employees of IU (Indiana University) who are eligible for the open enrollment period.
02
Newly hired IU employees who need to enroll in health insurance plans.
03
Current IU employees who want to make changes to their existing coverage.
04
Dependents of IU employees who need to be added or removed from the coverage.
05
Any eligible individual who wants to enroll in IU's health insurance plans for the upcoming year.
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The IU open enrollment form is a document that allows eligible individuals to enroll in or change their health insurance plans offered by Indiana University during the designated open enrollment period.
Individuals who are eligible for health insurance benefits through Indiana University, including employees and their dependents, are required to file the IU open enrollment form if they wish to enroll or make changes to their health insurance coverage.
To fill out the IU open enrollment form, individuals should provide their personal information, select their desired health insurance plan, indicate dependents if applicable, and submit the form following the instructions provided by Indiana University.
The purpose of the IU open enrollment form is to facilitate the process of enrolling in or changing health insurance plans during a specific enrollment period, ensuring that all eligible individuals can update their coverage as needed.
The information reported on the IU open enrollment form typically includes personal details such as name, address, employee ID, selection of health insurance plan, and information about dependents if applicable.
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