Form A10385 State Health Benefits Program Enrollment Form for Employees - Virginia

What Is Form A10385?

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

FAQ

Q: What is Form A10385?
A: Form A10385 is the State Health BenefitsProgram Enrollment Form for Employees in Virginia.

Q: Who is eligible to use Form A10385?
A: Employees in Virginia who want to enroll in the State Health Benefits Program can use Form A10385.

Q: What is the purpose of Form A10385?
A: The purpose of Form A10385 is to enroll employees in the State Health Benefits Program in Virginia.

Q: What information is required on Form A10385?
A: Form A10385 requires information such as personal details, employment information, dependent information, and health coverage choices.

Q: When should I submit Form A10385?
A: You should submit Form A10385 during your initial enrollment period or during the annual open enrollment period.

Q: Can I make changes to my enrollment using Form A10385?
A: Yes, you can use Form A10385 to make changes to your enrollment during the annual open enrollment period or if you experience a qualifying life event.

Q: Is Form A10385 only for new employees?
A: No, Form A10385 can be used by both new employees and current employees who want to enroll or make changes to their health benefits.

Q: Are there any specific instructions for completing Form A10385?
A: Yes, make sure to carefully read and follow the instructions provided with the form to ensure accurate completion.