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2025 OPEN ENROLLMENT FORM OVERVIEWOpen enrollment changes will take effect January 1, 2025. Elections must be completed on the 2025 Open Enrollment Form, not submitted via Self Service in HighLine.

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What is open enrollment form?

An open enrollment form is a document that allows individuals to enroll in or make changes to their health insurance plan during a designated period each year.

Who is required to file open enrollment form?

Individuals who wish to enroll in or change their health insurance coverage are required to file an open enrollment form during the specified open enrollment period.

How to fill out open enrollment form?

To fill out an open enrollment form, individuals should provide personal information such as name, address, and social security number, select their desired health plan, and complete any additional required information specific to the insurance provider.

What is the purpose of open enrollment form?

The purpose of the open enrollment form is to enable individuals to access and select their health insurance options, ensuring they have coverage for the upcoming year.

What information must be reported on open enrollment form?

The information that must be reported on an open enrollment form typically includes personal identification details, household information, income details, and the specific health plan options selected.

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