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Southland National Insurance CorporationDENTAL & VISION PLAN ENROLLMENT / CHANGE Forepart 1P. O. Box 1520 Tuscaloosa, AL 354031520 Phone: 18668395308 Fax: (205) 3431239Check One:Plans Desired: Base
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A benefit plan enrollment change refers to the process of updating or modifying an individual's participation in a benefits program, often due to life events such as marriage, divorce, or changes in employment status.
Individuals who wish to modify their benefits enrollment due to qualifying life events or changes in eligibility are required to file a benefit plan enrollment change.
To fill out a benefit plan enrollment change, individuals need to complete a designated form provided by their employer or benefit administrator, providing necessary details about their current and new enrollment selections.
The purpose of a benefit plan enrollment change is to ensure that individuals have the appropriate coverage that fits their current personal circumstances and needs.
Information that must be reported includes personal identification details, the nature of the change (e.g., qualifying life event), and the new benefits selections or coverage levels.
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