Retiree Health Benefits Enrollment and Change Form - Maryland

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

Q: Who can use the Retiree Health Benefits Enrollment and Change Form?
A: Retirees in Maryland who are eligible for health benefits can use the form.

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

Q: What information do I need to provide on the form?
A: You will need to provide personal information, such as your name, Social Security number, and contact details. You may also need to provide information about your dependent(s) if applicable.

Q: Are there any deadlines for submitting the form?
A: Yes, there are specific deadlines for submitting the form. It is important to submit the form within the specified timeframe to ensure timely processing of your enrollment or changes.

Q: Who should I contact if I have questions about the form?
A: If you have questions about the Retiree Health Benefits Enrollment and Change Form, you should contact your employer or the Maryland State Retirement Agency for assistance.