This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Contractual / Variable Hour 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.
Q: What is the purpose of the Contractual / Variable Hour Employees Health Benefits Enrollment and Change Form?
A: The purpose of the form is to enroll or make changes to health benefits for contractual or variable hour employees in Maryland.
Q: Who is eligible to use this form?
A: Contractual or variable hour employees in Maryland are eligible to use this form.
Q: What can I do with this form?
A: You can use this form to enroll in health benefits or make changes to your existing benefits.
Q: Are there any deadlines for submitting this form?
A: Specific deadlines may vary depending on your employer's policies. Consult your employer or HR department for the deadline.
Q: Can I make changes to my health benefits outside of the designated open enrollment period?
A: In certain circumstances (such as experiencing a qualifying life event), you may be able to make changes to your health benefits outside of the open enrollment period. Consult your employer or HR department for more information.
Q: Do I need to provide any supporting documentation with this form?
A: Certain changes, such as adding or removing dependents, may require supporting documentation. Consult your employer or HR department for specific requirements.
Q: What happens after I submit this form?
A: After you submit the form, your employer or HR department will process your enrollment or changes to your health benefits.
Q: Can I make changes to my health benefits at any time?
A: Generally, you can only make changes to your health benefits during the designated open enrollment period. However, there may be exceptions for certain qualifying life events. Consult your employer or HR department for more information.
Q: What if I have questions or need assistance with this form?
A: If you have questions or need assistance with this form, you can contact your employer or HR department for guidance.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Maryland Department of Budget and Management.