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Active Benefits Enrollment/ Change Form Rev 1/2024Capistrano Unified School Di strict be longs t o the California Schools Benefits Try ust (C SBT). Working collaboratively with California Schools

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How to fill out open enrollment period for

01

Review the benefits information provided by your employer.

02

Consider any changes in your health or life circumstances that may impact your insurance needs.

03

Select the best health insurance plan option for you and your family.

04

Complete the necessary enrollment forms provided by your employer by the deadline.

05

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Who needs open enrollment period for?

01

Employees who are eligible for benefits through their employer

02

Individuals who need to make changes to their health insurance coverage

03

Families looking to enroll in a new health insurance plan

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What is open enrollment period for?

Open enrollment period is a specified period during which individuals can sign up for or make changes to their health insurance plans.

Who is required to file open enrollment period for?

All individuals who are eligible for health insurance plans are required to file open enrollment period.

How to fill out open enrollment period for?

To fill out open enrollment period, individuals can usually do it online through their insurance provider's website or by working with a licensed insurance broker.

What is the purpose of open enrollment period for?

The purpose of open enrollment period is to give individuals the opportunity to select or make changes to their health insurance coverage for the upcoming year.

What information must be reported on open enrollment period for?

Information such as personal details, dependent information, income details, and health insurance plan choices must be reported on open enrollment period form.

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