Form STD.692 Dental Plan Enrollment Authorization - California

Form STD.692 Dental Plan Enrollment Authorization - California

What Is Form STD.692?

This is a legal form that was released by the California Department of Human Resources - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form STD.692?
A: Form STD.692 is a Dental Plan Enrollment Authorization form in California.

Q: What is the purpose of Form STD.692?
A: The purpose of Form STD.692 is to authorize enrollment in a dental plan in California.

Q: Who needs to fill out Form STD.692?
A: Form STD.692 needs to be filled out by employees who want to enroll in a dental plan in California.

Q: Are there any eligibility requirements to fill out Form STD.692?
A: Yes, employees must meet certain eligibility requirements to fill out Form STD.692. These requirements can be found on the form itself or by contacting the California Department of Human Resources.

Q: Is there a deadline to submit Form STD.692?
A: The deadline to submit Form STD.692 may vary. It is recommended to check with your employer or the California Department of Human Resources for the specific deadline.

Q: Are there any fees associated with Form STD.692?
A: There may be fees associated with enrolling in a dental plan using Form STD.692. These fees vary depending on the specific dental plan and should be discussed with the dental plan provider.

Q: Can I make changes to my dental plan after submitting Form STD.692?
A: Changes to a dental plan can typically be made during open enrollment periods or for qualifying life events. It is recommended to contact the dental plan provider or the California Department of Human Resources for more information on making changes to your dental plan.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2021;
  • The latest edition provided by the California Department of Human Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form STD.692 by clicking the link below or browse more documents and templates provided by the California Department of Human Resources.

Download Form STD.692 Dental Plan Enrollment Authorization - California

4.6 of 5 (31 votes)
  • Form STD.692 Dental Plan Enrollment Authorization - California

    1

  • Form STD.692 Dental Plan Enrollment Authorization - California, Page 2

    2

  • Form STD.692 Dental Plan Enrollment Authorization - California, Page 1
  • Form STD.692 Dental Plan Enrollment Authorization - California, Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents