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20212022Dartmouth Student Group Health Plan (DSG HP) Midyear Enrollment Dartmouth Student Group Health Plan Mailing Address: 7 Rope Ferry Rd, HE# 6143 Hanover, NH 03755Email: dartmouth.student.health.plan@dartmouth.edu
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How to fill out mid-year enrollment

01
Obtain the mid-year enrollment form from the school or institution.
02
Fill in all the required personal information, such as name, address, contact details, etc.
03
Provide information about the courses or programs you wish to enroll in for the mid-year term.
04
Submit the completed form along with any required documents or fees to the appropriate office or department.

Who needs mid-year enrollment?

01
Students who missed the initial enrollment period for the academic year.
02
Students who wish to change or add courses midway through the academic term.
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Mid-year enrollment is the process of enrolling in an insurance plan or making changes to an existing plan outside of the regular open enrollment period.
Individuals who experience a qualifying life event, such as getting married, having a baby, or losing other health coverage, are required to file mid-year enrollment.
To fill out mid-year enrollment, individuals can typically do so through their employer, a health insurance marketplace, or directly with an insurance provider. They will need to provide information about the qualifying life event and select a new plan or make changes to their current plan.
The purpose of mid-year enrollment is to allow individuals to make changes to their health insurance coverage when certain life events occur that make their current coverage no longer sufficient or appropriate.
Information that must be reported on mid-year enrollment includes details about the qualifying life event, any dependents being added or removed from the plan, and any changes to coverage options.
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