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ENROLLMENT/CHANGE FORM COLORADO SPRINGS SCHOOL DISTRICT 11 (Changes must be submitted within 31 days of any qualifying event)SELECT THE TYPE(S) OF COVERAGE MEDICALELECTCHECK ALL APPLICABLE BOXES FOR

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How to fill out mid-year qualifying events or

01

Review your benefits plan to understand what qualifies as a mid-year qualifying event.

02

Fill out the required forms provided by your HR department or benefits administrator.

03

Collect any necessary documentation to support your qualifying event, such as marriage certificate or birth certificate.

04

Submit the completed forms and documentation to your HR department within the required time frame.

Who needs mid-year qualifying events or?

01

Employees who experience a life event that affects their benefits eligibility, such as getting married, having a baby, or losing other coverage.

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What is mid-year qualifying events or?

Mid-year qualifying events are certain life events that allow individuals to make changes to their health insurance coverage outside of the regular enrollment period.

Who is required to file mid-year qualifying events or?

Individuals who experience a qualifying life event are required to file mid-year qualifying events.

How to fill out mid-year qualifying events or?

You can usually fill out mid-year qualifying events online through your insurance provider's website or by contacting their customer service.

What is the purpose of mid-year qualifying events or?

The purpose of mid-year qualifying events is to allow individuals to adjust their health insurance coverage to align with any changes in their life circumstances.

What information must be reported on mid-year qualifying events or?

You must report the details of the qualifying event, such as the date it occurred and any documentation supporting the event.

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