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Get the free Rcuh Health and Dental Enrollment/change Form

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This form is used by Regular, Relief, and Non-Regular benefits-eligible employees who work 50% FTE or greater to enroll or change their health and dental insurance coverage for the plan year of July 1, 2024 – June 30, 2025. Employees must submit this form and any supporting documentation within specified time frames related to qualifying events.
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How to fill out rcuh health and dental

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How to fill out rcuh health and dental

01
Obtain the RCUH Health and Dental enrollment form from the official website or HR department.
02
Fill in your personal information, including your name, employee ID, and contact details.
03
Choose your preferred health plan options by reviewing the available plans and selecting the one that best suits your needs.
04
Complete the dental plan options, if applicable, by similarly reviewing and selecting your preferred dental coverage.
05
Provide any necessary dependent information if you plan to include dependents in your coverage.
06
Review your entries for accuracy and completeness.
07
Submit the completed form to the HR department by the specified deadline.

Who needs rcuh health and dental?

01
Individuals employed by RCUH who seek health and dental coverage.
02
Dependents of eligible employees who require health and dental insurance.
03
New hires looking to enroll in benefits during their onboarding process.
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RCUH health and dental refers to the health and dental insurance plans provided by the Research Corporation of the University of Hawaii, designed to offer medical and dental coverage to its employees.
Employees of the Research Corporation of the University of Hawaii who are enrolled in the health and dental plans are required to file the necessary documentation.
To fill out RCUH health and dental forms, employees should obtain the appropriate forms from the RCUH website or human resources, complete personal and dependent information, select coverage options, and submit it to the appropriate department.
The purpose of RCUH health and dental insurance is to provide comprehensive medical and dental coverage to employees, ensuring access to necessary healthcare services.
The information that must be reported includes personal details of the employee, dependent information, coverage selections, and any changes in health status or eligibility.
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