Retiree Health Benefits Enrollment and Change Form - Maryland

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Retiree Health Benefits Enrollment and Change Form - Maryland

Retiree 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 Retiree Health Benefits Enrollment and Change Form?A: The Retiree Health Benefits Enrollment and Change Form is a document used by retirees in Maryland to enroll in or make changes to their health benefits.

Q: Who can use the Retiree Health Benefits Enrollment and Change Form?A: Retirees in Maryland who are eligible for health benefits can use the form.

Q: What can I do with the form?A: You can use the form to enroll in health benefits, make changes to your existing benefits, or cancel your coverage.

Q: What information do I need to provide on the form?A: You will need to provide personal information, such as your name, Social Security number, and contact details. You may also need to provide information about your dependent(s) if applicable.

Q: Are there any deadlines for submitting the form?A: Yes, there are specific deadlines for submitting the form. It is important to submit the form within the specified timeframe to ensure timely processing of your enrollment or changes.

Q: Who should I contact if I have questions about the form?A: If you have questions about the Retiree Health Benefits Enrollment and Change Form, you should contact your employer or the Maryland State Retirement Agency for 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 fillable version of the form by clicking the link below or browse more documents and templates provided by the Maryland Department of Budget and Management.

Download Retiree Health Benefits Enrollment and Change Form - Maryland

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