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 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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