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PROVINCE OF MANITOBA
APPLICATION FOR VOLUNTARY
HEALTH BENEFITS PO BOX 1046 STN MAIN WINNIPEG MB R3C 2×7
TEL 204.775.0151
Fax 204.772.1231THIS SECTION TO BE COMPLETED BY EMPLOYEE
LAST NAMEFIRST EMAILING
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How to fill out open-enrollment-change-form-city-of-winnipeg

How to fill out open-enrollment-change-form-city-of-winnipeg
01
Obtain the open enrollment change form from the City of Winnipeg.
02
Fill in all required personal information, such as name, address, and employee number.
03
Indicate the changes you would like to make, such as adding or removing dependents or changing coverage levels.
04
Provide any supporting documentation if required, such as proof of a qualifying life event or marriage certificate.
05
Submit the completed form to the appropriate department for processing.
Who needs open-enrollment-change-form-city-of-winnipeg?
01
Employees of the City of Winnipeg who wish to make changes to their benefits coverage.
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What is open-enrollment-change-form-city-of-winnipeg?
The open-enrollment-change-form-city-of-winnipeg is a form used to make changes to enrollment information in the City of Winnipeg.
Who is required to file open-enrollment-change-form-city-of-winnipeg?
All residents of the City of Winnipeg who need to make changes to their enrollment information are required to file the open-enrollment-change-form-city-of-winnipeg.
How to fill out open-enrollment-change-form-city-of-winnipeg?
To fill out the open-enrollment-change-form-city-of-winnipeg, residents must provide accurate and updated enrollment information as requested on the form.
What is the purpose of open-enrollment-change-form-city-of-winnipeg?
The purpose of the open-enrollment-change-form-city-of-winnipeg is to ensure that enrollment information in the City of Winnipeg is accurate and up to date.
What information must be reported on open-enrollment-change-form-city-of-winnipeg?
The open-enrollment-change-form-city-of-winnipeg may require information such as name, address, contact details, and any changes to enrollment status.
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