Get the free RCUH Group Health Enrollment/Change Form (Form B-5H)

RESEARCH CORPORATION OF THE UNIVERSITY OF HAWAII RCH GROUP HEALTH ENROLLMENT / CHANGE FORM (Regular Status Employees 50100% FTE) Employee Name: RCH Employee ID #: PRETAX Dental Insurance Coverage:

How to fill out rcuh group health enrollmentchange

How to Fill Out RCUH Group Health Enrollment Change:

1. Gather all necessary information: Before filling out the enrollment change form, make sure to have all the relevant information at hand. This includes personal details such as your full name, address, phone number, and social security number. Also, gather information about your current health insurance plan, including the plan name, policy number, and effective dates.
2. Download the enrollment change form: Visit the RCUH website or contact the RCUH administration to access the group health enrollment change form. Make sure to download the latest version of the form to ensure accuracy.
3. Complete the personal information section: Start by filling out the personal information section of the form. Provide your full name, address, contact information, and any other required personal details. Double-check for any errors or missing information.
4. Select the appropriate enrollment change type: The form will include various options for enrollment changes, such as adding a dependent, terminating coverage, or making changes to your current plan. Choose the applicable option based on your specific circumstances.
5. Provide necessary supporting documentation: If you are adding a dependent or making changes to your plan, you may need to include supporting documentation. This can include birth certificates, marriage certificates, or other relevant proof of eligibility. Make sure to review the form instructions to determine what documents are required.
6. Review and sign the form: After filling out all the necessary sections, carefully review the entire form to ensure accuracy and completeness. Check for any errors or missing information. Once satisfied, sign and date the form to certify that the information provided is true and accurate.
7. Submit the form: Once you have completed the enrollment change form, submit it according to the instructions provided. This may involve mailing the form to the designated RCUH administration address or submitting it electronically through an online portal.

Who Needs RCUH Group Health Enrollment Change?

1. Employees of RCUH: The RCUH group health enrollment change form is primarily intended for employees of the Research Corporation of the University of Hawaii (RCUH) who wish to make changes to their health insurance coverage. This includes adding or removing dependents, making changes to the current plan, or terminating coverage.
2. Dependents: In addition to employees, dependents of RCUH employees may also require the enrollment change form if they are being added to or removed from the employee's health insurance plan.
3. Life events: Individuals who experience qualifying life events may also need to complete the enrollment change form. Qualifying life events can include marriage, divorce, birth or adoption of a child, or the loss of other health insurance coverage.

Overall, anyone who is an employee of RCUH or a dependent of an employee, and wishes to make changes to their group health insurance coverage, will need to fill out the RCUH group health enrollment change form.

For pdfFiller’s FAQs

Where do I find rcuh group health enrollmentchange?

The pdfFiller premium subscription gives you access to a large library of fillable forms (over 25 million fillable templates) that you can download, fill out, print, and sign. In the library, you'll have no problem discovering state-specific rcuh group health enrollmentchange and other forms. Find the template you want and tweak it with powerful editing tools.

How do I edit rcuh group health enrollmentchange in Chrome?

Download and install the pdfFiller Google Chrome Extension to your browser to edit, fill out, and eSign your rcuh group health enrollmentchange, which you can open in the editor with a single click from a Google search page. Fillable documents may be executed from any internet-connected device without leaving Chrome.

How do I complete rcuh group health enrollmentchange on an iOS device?

pdfFiller has an iOS app that lets you fill out documents on your phone. A subscription to the service means you can make an account or log in to one you already have. As soon as the registration process is done, upload your rcuh group health enrollmentchange. You can now use pdfFiller's more advanced features, like adding fillable fields and eSigning documents, as well as accessing them from any device, no matter where you are in the world.

What is rcuh group health enrollmentchange?

RCUH Group Health Enrollment Change is a form used to make changes to health insurance enrollment for employees in the Research Corporation of the University of Hawaii.

Who is required to file rcuh group health enrollmentchange?

All employees of the Research Corporation of the University of Hawaii are required to file RCUH Group Health Enrollment Change when making changes to their health insurance enrollment.

How to fill out rcuh group health enrollmentchange?

To fill out RCUH Group Health Enrollment Change, employees must provide personal information, select the changes they wish to make to their health insurance enrollment, and submit the form according to the instructions provided.

What is the purpose of rcuh group health enrollmentchange?

The purpose of RCUH Group Health Enrollment Change is to allow employees to make changes to their health insurance enrollment as needed.

What information must be reported on rcuh group health enrollmentchange?

Employees must report personal information, changes to health insurance enrollment, and any other relevant details on RCUH Group Health Enrollment Change.