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GRAPE CREEK ISD Dental Highlight Sheet High Plan: Dental Plan Summary Plan Benefit Type 1 Type 2 Type 3 DeductiblePolicy # 20575 Effective Date: 10/1/2023 100% 80% 50% $50/Calendar Year Type 2 & 3

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How to fill out grape-creek-isd-2023-high-dental-plan-summary

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Obtain the grape-creek-isd-2023-high-dental-plan-summary form from the designated source.

02

Fill out your personal information including name, address, contact details, and any other required information.

03

Provide details about your dental coverage plan such as coverage type, policy number, and effective date.

04

List out any dependents covered under the plan if applicable.

05

Review the form for accuracy and completeness before submitting it.

Who needs grape-creek-isd-2023-high-dental-plan-summary?

01

Employees of Grape Creek ISD who are enrolled in the 2023 high dental plan.

02

Dependents of employees who are covered under the Grape Creek ISD high dental plan.

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What is grape-creek-isd-high-dental-plan-summary?

Grape-creek-isd-high-dental-plan-summary is a summary of the dental plan offered by Grape Creek ISD High School.

Who is required to file grape-creek-isd-high-dental-plan-summary?

All employees enrolled in the dental plan at Grape Creek ISD High School are required to file the dental plan summary.

How to fill out grape-creek-isd-high-dental-plan-summary?

Employees can fill out the grape-creek-isd-high-dental-plan-summary by providing information about their dental coverage and any changes to the plan.

What is the purpose of grape-creek-isd-high-dental-plan-summary?

The purpose of grape-creek-isd-high-dental-plan-summary is to ensure that employees are informed about their dental coverage and benefits.

What information must be reported on grape-creek-isd-high-dental-plan-summary?

The grape-creek-isd-high-dental-plan-summary must include details about the dental plan coverage, premiums, and any changes to the plan.

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