Get the free Request to Continue Dependent Coverage Form - California - employees usc

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Request to Continue Dependent Coverage Your request cannot be processed if any information is missing. Please fill in all sections on both pages completely and mail to: Anthem Blue Cross Select street

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How to fill out request to continue dependent

01

Obtain the necessary form for requesting to continue dependent from the appropriate authority.

02

Fill out the form with accurate and complete information about yourself and the dependent

03

Include any supporting documentation that may be required, such as proof of relationship or dependency

04

Submit the completed form and any supporting documents to the relevant department or agency

05

Wait for a response from the authority regarding your request

Who needs request to continue dependent?

01

Any individual who has a dependent and wants to continue providing support or benefits for that dependent

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What is request to continue dependent?

Request to continue dependent is a document submitted to maintain dependent coverage under a healthcare plan.

Who is required to file request to continue dependent?

The primary policyholder or the dependent's guardian is required to file a request to continue dependent.

How to fill out request to continue dependent?

To fill out a request to continue dependent, one must provide the necessary personal information of the dependent and follow the instructions provided by the healthcare plan.

What is the purpose of request to continue dependent?

The purpose of request to continue dependent is to ensure that dependent coverage is not terminated and remains active under the healthcare plan.

What information must be reported on request to continue dependent?

The request to continue dependent must include the dependent's full name, date of birth, relationship to the policyholder, and any other relevant personal information.

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