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Get the free Request to Continue Dependent Coverage Form

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Request to Continue Dependent Coverage Your request cannot be processed if any information is missing. Please fill in all sections on both pages completely and mail to: Anthem Blue Cross P.O. Box
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How to fill out request to continue dependent

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How to fill out request to continue dependent

01
Obtain the necessary form for requesting to continue dependent.
02
Fill out all the required personal information, including name, address, contact details, and relationship to the dependent.
03
Provide any supporting documentation that may be required, such as proof of dependency or financial information.
04
Submit the completed form and documentation to the appropriate department or office for processing.

Who needs request to continue dependent?

01
Individuals who have dependents that are eligible for continued coverage under their insurance plan.
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Request to continue dependent is a formal process to extend coverage for a dependent on an insurance policy.
The policyholder or the person responsible for the insurance policy is required to file the request to continue dependent.
The request to continue dependent can usually be filled out online or by contacting the insurance provider directly.
The purpose of the request to continue dependent is to ensure that the dependent's coverage is extended after the initial policy ends.
The request to continue dependent typically requires the dependent's personal information, policy details, and any changes in circumstances.
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