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Get the free Optional Supplemental Benefits (OSB) Disenrollment Form

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Mail or Fax to: P.O. Box 30196 Salt Lake City, UT 841300196 Fax: 8014420357 Phone: 8554429900 selecthealth.org/medicareOptional Supplemental Benefits (OSB) Disenrollment Form To disenroll from your
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How to fill out optional supplemental benefits osb

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How to fill out optional supplemental benefits osb

01
Review the optional supplemental benefits offered by your employer
02
Determine which benefits align with your needs and financial goals
03
Fill out the necessary forms provided by your employer
04
Submit the completed forms within the designated timeline

Who needs optional supplemental benefits osb?

01
Employees looking to enhance their existing benefits package
02
Individuals seeking additional coverage for specific needs such as vision, dental, or life insurance
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Optional Supplemental Benefits (OSB) are additional benefits that can be provided to employees on top of their regular benefits.
Employers who choose to offer optional supplemental benefits to their employees are required to file OSB.
To fill out OSB, employers need to provide details of the supplemental benefits offered and report them to the appropriate government agencies.
The purpose of OSB is to provide additional benefits to employees beyond the standard benefits package.
Employers must report the types of supplemental benefits offered, the number of employees receiving them, and the value of the benefits provided.
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