Get the free 2013 Retiree Open Enrollment Form - hr utah
Show details
This form is for retirees of the University of Utah to enroll in or cancel coverage in the University’s Retiree Health Care Plan, effective January 1, 2013.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign 2013 retiree open enrollment
Edit your 2013 retiree open enrollment form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your 2013 retiree open enrollment form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing 2013 retiree open enrollment online
Follow the guidelines below to benefit from a competent PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit 2013 retiree open enrollment. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
With pdfFiller, it's always easy to work with documents.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out 2013 retiree open enrollment
How to fill out 2013 Retiree Open Enrollment Form
01
Obtain the 2013 Retiree Open Enrollment Form from the relevant retirement benefits website or agency.
02
Read the instructions carefully to understand the sections required to be filled out.
03
Fill in your personal information, including your name, address, and contact details in the designated sections.
04
Select the type of coverage you wish to enroll in or make changes to, such as medical, dental, or vision plans.
05
Provide any additional information required, such as dependent information or changes in eligibility.
06
Review the filled form for accuracy to ensure all information is correct and complete.
07
Sign and date the form in the appropriate section to validate your enrollment request.
08
Submit the completed form via the specified method, whether by mail, fax, or online submission as instructed.
Who needs 2013 Retiree Open Enrollment Form?
01
Retired employees who are eligible for benefits and wish to enroll or make changes to their healthcare plans for the year 2013.
02
Dependents of retirees seeking to add or modify their coverage under the retiree's health plan.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is 2013 Retiree Open Enrollment Form?
The 2013 Retiree Open Enrollment Form is a document that allows retirees to enroll in or make changes to their healthcare plans during the designated enrollment period.
Who is required to file 2013 Retiree Open Enrollment Form?
Retirees who wish to update their health insurance coverage or enroll in a new plan for the year 2013 are required to file the 2013 Retiree Open Enrollment Form.
How to fill out 2013 Retiree Open Enrollment Form?
To fill out the 2013 Retiree Open Enrollment Form, retirees need to provide personal information, select their desired health plan options, and sign the document to confirm their choices.
What is the purpose of 2013 Retiree Open Enrollment Form?
The purpose of the 2013 Retiree Open Enrollment Form is to facilitate the process for retirees to choose or change their healthcare coverage for the upcoming year.
What information must be reported on 2013 Retiree Open Enrollment Form?
The information that must be reported includes the retiree's name, address, contact information, beneficiary details, and their selected health plan options for 2013.
Fill out your 2013 retiree open enrollment online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
2013 Retiree Open Enrollment is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
