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LEE COUNTY HEALTH PLAN OPT-OUT ENROLLMENT FORM Lee County Board of County Commissioners SS#: xxxxxName (Last, First, MI): (Please print)Effective Date of Enrollment:(Required)Dept:Bock employees may
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How to fill out lee county health plan

01
Step 1: Obtain the Lee County health plan enrollment form
02
Step 2: Fill out your personal information such as name, address, contact information
03
Step 3: Provide details of your current health insurance coverage, if applicable
04
Step 4: Select the type of coverage you are applying for
05
Step 5: Sign and date the form, ensuring all information is accurate
06
Step 6: Submit the form to the Lee County health plan office for processing

Who needs lee county health plan?

01
Residents of Lee County, Florida who do not have access to employer-sponsored health insurance
02
Individuals who are looking for affordable healthcare options in Lee County
03
Families with low income who are in need of healthcare coverage
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Lee County health plan is a program offered by Lee County to provide health coverage to its residents.
All residents of Lee County are required to file for the Lee County health plan.
To fill out the Lee County health plan, residents can visit the Lee County website or contact the Lee County health department for assistance.
The purpose of the Lee County health plan is to ensure that all residents have access to affordable and quality healthcare services.
The Lee County health plan requires residents to report their personal information, household income, and any existing health insurance coverage.
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