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5/23/24, 10:30 AMpolicy.azsba.org/asba/PrintViewer.jsp?printCollection0JFB OPEN ENROLLMENT The District has an openenrollment program as set forth in A.R.S. 15816 et seq. The open enrollment program
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15-81601 - open enrollment is a form or process where individuals can sign up for or make changes to their healthcare coverage outside of the regular enrollment period.
Individuals who are eligible for healthcare coverage and want to enroll or make changes outside of the regular enrollment period are required to file 15-81601 - open enrollment.
To fill out 15-81601 - open enrollment, individuals must provide personal information, choose a healthcare plan, and submit the form by the deadline.
The purpose of 15-81601 - open enrollment is to allow individuals to sign up for or make changes to their healthcare coverage outside of the regular enrollment period.
Information such as personal details, healthcare plan choices, and any changes to existing coverage must be reported on 15-81601 - open enrollment.
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