Active and Satellite Employees Health Benefits Enrollment and Change Form - Maryland

Active and Satellite Employees Health Benefits Enrollment and Change Form - Maryland

Active and Satellite Employees Health Benefits Enrollment and Change Form is a legal document that was released by the Maryland Department of Budget and Management - a government authority operating within Maryland.

FAQ

Q: What is the Active and Satellite Employees Health Benefits Enrollment and Change Form?A: The Active and Satellite Employees Health Benefits Enrollment and Change Form is a document used by employees in Maryland to enroll in or make changes to their health benefits.

Q: Who can use the Active and Satellite Employees Health Benefits Enrollment and Change Form?A: The form can be used by active and satellite employees in Maryland.

Q: What is the purpose of the form?A: The form is used to enroll in or make changes to health benefits.

Q: What information is required on the form?A: The form requires personal information such as employee name, address, and social security number, as well as information about the desired health benefits.

Q: Are there any deadlines for submitting the form?A: Yes, there are typically deadlines for submitting the form. Check with your employer or the human resources department for specific dates.

Q: Can I make changes to my health benefits outside of the enrollment period?A: In some cases, changes to health benefits can only be made during the annual enrollment period. However, certain life events may qualify for a special enrollment period.

Q: Is there a cost associated with enrolling in health benefits?A: There may be a cost associated with enrolling in health benefits, such as monthly premiums or deductibles. Details about costs should be provided on the form or by your employer.

Q: Can I enroll in health benefits for my dependents?A: Yes, you can typically enroll your eligible dependents for health benefits. The form will ask for information about your dependents.

Q: What should I do if I have questions about the form or health benefits?A: If you have questions, you should contact your employer or the human resources department for guidance and assistance.

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Form Details:

  • The latest edition currently provided by the Maryland Department of Budget and Management;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Maryland Department of Budget and Management.

Download Active and Satellite Employees Health Benefits Enrollment and Change Form - Maryland

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