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Blue Shield PPO active employee enrollment form×2022 Open Enrollment×DISC III ENROLLMENT FORM (DO NOT use for Kaiser members, use Kaiser Permanent enrollment form for Kaiser members)(Type or print
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01
Review the available plans and options
02
Consider your healthcare needs for the upcoming year
03
Gather all necessary documentation
04
Fill out the enrollment forms accurately and completely
05
Submit the forms by the deadline

Who needs open enrollment - victor?

01
Employees who want to make changes to their benefits
02
Those who want to enroll in new benefits
03
Individuals who want to add or remove dependents from their coverage
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Open enrollment is a period of time when individuals can sign up for or make changes to their health insurance coverage.
Individuals who are eligible for health insurance coverage are required to file open enrollment.
Open enrollment can typically be filled out online, through a paper application, or by contacting the insurance company directly.
The purpose of open enrollment is to allow individuals to review and make changes to their health insurance coverage for the upcoming year.
Information such as personal details, dependent information, and desired coverage options must be reported on open enrollment.
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