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Government of Newfoundland and Labrador Executive Council Treasury Board Secretariat Benefits AdministrationGROUP INSURANCE CONTINUATION FORM Please email this form to GroupInsurance@gov.nl.ca thirty
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How to fill out continuation of coverage form
How to fill out continuation of coverage form
01
Obtain the continuation of coverage form from the HR department or insurance provider.
02
Fill out your personal information accurately, including your full name, address, and contact details.
03
Provide details about your current insurance coverage that you wish to continue, such as the type of plan and policy number.
04
Indicate the reason for needing continuation of coverage, such as job loss or change in life circumstances.
05
Sign and date the form before submitting it to the appropriate party.
Who needs continuation of coverage form?
01
Individuals who are experiencing a qualifying event that makes them eligible for continuation of coverage, such as losing their job or experiencing a life change that impacts their insurance coverage.
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What is continuation of coverage form?
Continuation of coverage form is a form that allows individuals to continue their insurance coverage after a qualifying event, such as job loss.
Who is required to file continuation of coverage form?
Individuals who experience a qualifying event and wish to continue their insurance coverage are required to file continuation of coverage form.
How to fill out continuation of coverage form?
Continuation of coverage form can be filled out by providing the required information about the individual, the qualifying event, and the insurance coverage.
What is the purpose of continuation of coverage form?
The purpose of continuation of coverage form is to ensure that individuals can maintain their insurance coverage after a qualifying event.
What information must be reported on continuation of coverage form?
Information such as the individual's name, contact information, the qualifying event, and the insurance coverage details must be reported on continuation of coverage form.
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