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Retiree Dental Open Enrollment Change Request Form The open enrollment period for the CSU Dental Program is September 21, 2020, through October 16, 2020, with an effective date of January 1, 2021.

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How to fill out retiree dental open enrollment

01

Read the instructions provided by your employer or retirement plan on the retiree dental open enrollment process.

02

Access the retiree dental open enrollment website or contact the benefits administrator for the necessary forms.

03

Fill out the required information on the enrollment form, including personal details and dental plan preferences.

04

Review the information provided and make any necessary corrections before submitting the form.

05

Submit the completed retiree dental open enrollment form by the specified deadline to ensure coverage for the upcoming benefit year.

Who needs retiree dental open enrollment?

01

Retirees who are eligible for dental benefits through their former employer or retirement plan may need to complete the retiree dental open enrollment process to maintain or change their dental coverage.

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What is retiree dental open enrollment?

Retiree dental open enrollment is a period during which retirees can make changes to their dental coverage.

Who is required to file retiree dental open enrollment?

Retirees who wish to make changes to their dental coverage are required to file retiree dental open enrollment.

How to fill out retiree dental open enrollment?

Retirees can fill out retiree dental open enrollment by submitting the necessary forms provided by their dental insurance provider.

What is the purpose of retiree dental open enrollment?

The purpose of retiree dental open enrollment is to allow retirees to make changes to their dental coverage to better suit their needs.

What information must be reported on retiree dental open enrollment?

Retirees must report personal information, current dental coverage details, and any changes they wish to make to their dental coverage.

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