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2025 Retiree Open Enrollment FormSubmit completed form to: askhr@northwestern.edu or Northwestern Benefits Office 1800 Sherman Ave Evanston, IL 602011. INSTRUCTIONS During Open Enrollment for 2025
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How to fill out 2025 retiree open enrollment

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How to fill out 2025 retiree open enrollment

01
Review your current health plan and benefits.
02
Gather necessary personal information, including Social Security number and dependent details.
03
Visit the official retiree open enrollment website or contact your benefits administrator.
04
Complete the enrollment form, selecting your desired health plan options and any additional benefits.
05
Double-check all entries for accuracy.
06
Submit your enrollment form by the specified deadline.
07
Keep a copy of your completed form for your records.

Who needs 2025 retiree open enrollment?

01
Retirees who are eligible for Medicare or other health benefits.
02
Individuals nearing retirement who want to review their options.
03
Current retirees considering changes to their health coverage.
04
Dependents of retirees who may need health benefits.
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The retiree open enrollment form is a document that allows retired individuals to enroll, make changes, or cancel their health insurance plans during a specified enrollment period.
Retirees who wish to enroll, change, or cancel their health insurance coverage are required to file the retiree open enrollment form.
To fill out the retiree open enrollment form, retirees should provide their personal information, select the desired health plan options, and sign the form to confirm their choices.
The purpose of the retiree open enrollment form is to facilitate the enrollment process for retirees to manage their health insurance coverage and to ensure they have access to necessary healthcare services.
The information that must be reported on the retiree open enrollment form includes the retiree's name, address, date of birth, Social Security number, health plan selections, and any other required personal details.
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