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NOTICE OF QUALIFYING EVENTDeseret Healthcare Employee Benefits Plan and Desert Healthcare Flexible Benefits Plan INSTRUCTIONS Use this notice when any of the following events (called qualifying events)
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How to fill out notice of qualifying event
How to fill out notice of qualifying event
01
Obtain the notice of qualifying event form from the appropriate source (employer, insurance provider, etc).
02
Fill in the date of the qualifying event.
03
Provide details of the event that qualifies you for a special enrollment period, such as marriage, birth of a child, loss of other health coverage, etc.
04
Include any supporting documentation required, such as marriage certificate, birth certificate, termination letter, etc.
05
Submit the completed notice of qualifying event form to the relevant party within the specified timeframe.
Who needs notice of qualifying event?
01
Individuals who experience a qualifying event that makes them eligible for a special enrollment period in their health insurance coverage.
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What is notice of qualifying event?
Notice of qualifying event is a form that must be filed to report any event that may affect an individual's eligibility for certain benefits or coverage.
Who is required to file notice of qualifying event?
Employers and individuals are required to file notice of qualifying event.
How to fill out notice of qualifying event?
You can fill out notice of qualifying event by providing all required information accurately and submitting it to the appropriate authority.
What is the purpose of notice of qualifying event?
The purpose of notice of qualifying event is to ensure that changes in eligibility for benefits or coverage are reported in a timely manner.
What information must be reported on notice of qualifying event?
Information such as the nature of the event, date of the event, and any resulting changes in coverage must be reported on notice of qualifying event.
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