Active Employees Health Benefits Enrollment and Change Form - Maryland

Active 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 Employees Health Benefits Enrollment and Change Form?
A: The Active Employees Health Benefits Enrollment and Change Form is a document used by active employees in Maryland to enroll in or make changes to their health benefits.

Q: Who is eligible to use this form?
A: This form is only for active employees in Maryland who are eligible for health benefits.

Q: What can I use this form for?
A: You can use this form to enroll in health benefits, make changes to your existing health benefits, or cancel your health benefits coverage.

Q: What information do I need to provide on this form?
A: You will need to provide personal information, such as your name, employee ID, and contact information, as well as information about your dependents, if applicable.

Q: When should I submit this form?
A: You should submit this form during your employer's annual open enrollment period or within 60 days of a qualifying life event, such as getting married or having a baby.

Q: Can I make changes to my health benefits anytime?
A: No, you can only make changes to your health benefits during your employer's open enrollment period or within 60 days of a qualifying life event.

Q: What happens if I don't submit this form?
A: If you do not submit this form, you will not be enrolled in or make changes to your health benefits for the applicable period.

Q: Can I cancel my health benefits coverage?
A: Yes, you can use this form to cancel your health benefits coverage.

Q: Who should I contact if I have questions about this form?
A: If you have questions about the Active Employees Health Benefits Enrollment and Change Form, you should contact your human resources department or benefits administrator.