PDF
Word
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 - Maryland
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.
FAQ
Q: What is the Contractual/Variable Hour Employees Health Benefits Enrollment and Change Form?
A: The Contractual/Variable Hour Employees Health Benefits Enrollment and Change Form is a form used by Maryland residents who are contractual or variable hour employees to enroll or make changes to their health benefits.
Q: Who needs to use the Contractual/Variable Hour Employees Health Benefits Enrollment and Change Form?
A: Contractual or variable hour employees in Maryland who want to enroll or make changes to their health benefits need to use this form.
Q: What can I use the form for?
A: You can use the form to enroll in health benefits as a contractual or variable hour employee or make changes to your existing health benefits.
Q: Is this form specific to Maryland residents only?
A: Yes, this form is specifically for Maryland residents who are contractual or variable hour employees.
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 fillable 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 Contractual / Variable Hour Employees Health Benefits Enrollment and Change Form - Maryland
1
2
3
4
