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ADEL DeSoto INBORN COMMUNITY SCHOOLS 201920 PLAN YEAR ELECTION FORM Effective July 1, 2019EMPLOYEES THAT WORK LESS Than 12 MONTHS I understand that I have elected to participate in the group insurance
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Start by obtaining the voluntary vision - flexible form from your employer or insurance provider.
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Fill out your personal information including name, address, and contact details.
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Indicate the coverage options you are interested in, such as vision exams, glasses, or contact lenses.
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Review the cost of the coverage and any additional benefits provided.
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Sign and date the form, then submit it according to the instructions provided.

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Anyone who does not already have vision coverage through their employer or insurance plan may benefit from voluntary vision - flexible coverage.
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