Form 552-0795 Domestic Partnership Reenrollment in Health and Dental Insurance - Iowa

Form 552-0795 Domestic Partnership Reenrollment in Health and Dental Insurance - Iowa

What Is Form 552-0795?

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

FAQ

Q: What is Form 552-0795?
A: Form 552-0795 is a document for domestic partners in Iowa to reenroll in health and dental insurance.

Q: Who can use Form 552-0795?
A: Domestic partners in Iowa can use Form 552-0795 to reenroll in health and dental insurance.

Q: What is the purpose of Form 552-0795?
A: The purpose of Form 552-0795 is to provide domestic partners in Iowa with a way to reenroll in health and dental insurance.

Q: Is Form 552-0795 specific to Iowa?
A: Yes, Form 552-0795 is specific to domestic partners in Iowa.

Q: What information is required on Form 552-0795?
A: Form 552-0795 requires information such as personal details, insurance coverage details, and signatures.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Iowa Department of Administrative Services;
  • 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 552-0795 by clicking the link below or browse more documents and templates provided by the Iowa Department of Administrative Services.

Download Form 552-0795 Domestic Partnership Reenrollment in Health and Dental Insurance - Iowa

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  • Form 552-0795 Domestic Partnership Reenrollment in Health and Dental Insurance - Iowa, Page 1
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