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Your investment. Your future. Secure for your lifetime.Health Insurance Enrollment Guide NonMedicare and MedicareEligible ASRS RetireesFOR PLAN YEAR2024Please review this guide completely This guide
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01
Gather all necessary personal information such as name, address, date of birth, social security number, and any relevant insurance information.
02
Determine whether you are filling out the non-medicare ASRS form or the medicare-eligible ASRS form.
03
Carefully read and follow the instructions provided on the form.
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Complete each section of the form accurately and legibly.
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Who needs non-medicare and medicare-eligible asrs?

01
Employees who are members of the Arizona State Retirement System (ASRS) and are not yet eligible for Medicare may need to fill out the non-medicare ASRS form.
02
Employees who are members of the Arizona State Retirement System (ASRS) and are eligible for Medicare may need to fill out the medicare-eligible ASRS form.
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Non-medicare ASRs (Annual Statement Reports) relate to individuals who are not eligible for Medicare, while Medicare-eligible ASRs pertain to individuals who are eligible for Medicare benefits.
Employers or organizations that provide health insurance benefits to employees or members and that have employees or members eligible for Medicare or non-Medicare coverage are required to file these ASRs.
To fill out non-medicare and medicare-eligible ASRs, organizations must gather necessary data such as employee personal information, coverage details, and submit the forms accurately according to the guidelines provided by the relevant regulatory bodies.
The purpose of non-medicare and medicare-eligible ASRs is to provide detailed information about health insurance coverage, ensuring compliance with regulations and facilitating the proper allocation of resources for healthcare services.
Information reported on non-medicare and medicare-eligible ASRs includes employee demographics, insurance coverage dates, type of coverage, premiums paid, and any other relevant healthcare benefits.
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