Active Employees Health Benefits Enrollment and Change Form - Maryland

Active 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 purpose of the Active Employees Health Benefits Enrollment and Change Form?A: The form is used to enroll in or make changes to health benefits for active employees.

Q: Who is eligible to use the Active Employees Health Benefits Enrollment and Change Form?A: Active employees are eligible to use the form.

Q: What information do I need to provide on the Active Employees Health Benefits Enrollment and Change Form?A: You will need to provide your personal information, such as name, employee ID, and contact details, as well as the desired health benefits enrollment or changes.

Q: Can I use the Active Employees Health Benefits Enrollment and Change Form to enroll in other types of benefits?A: No, the form is specifically for health benefits enrollment and changes.

Q: How often can I use the Active Employees Health Benefits Enrollment and Change Form?A: You can use the form during the open enrollment period or within 60 days of a qualifying life event.

Q: What is a qualifying life event for using the Active Employees Health Benefits Enrollment and Change Form?A: A qualifying life event includes marriage, birth or adoption of a child, or loss of other health coverage.

Q: Is there a deadline for submitting the Active Employees Health Benefits Enrollment and Change Form?A: The form must be submitted within 60 days of a qualifying life event or during the open enrollment period.