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DOH Form 116E Health Insurance Enrollment Information - Utah
What Is DOH Form 116E?
This is a legal form that was released by the Utah Department of Health and Human Services - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 116E?
A: DOH Form 116E is the Health Insurance Enrollment Information form for Utah.
Q: What is the purpose of DOH Form 116E?
A: The purpose of DOH Form 116E is to collect information for health insurance enrollment in Utah.
Q: Who needs to fill out DOH Form 116E?
A: Individuals who want to enroll in health insurance in Utah need to fill out DOH Form 116E.
Q: What information is required on DOH Form 116E?
A: DOH Form 116E requires information such as personal details, income, and current health insurance coverage.
Q: Is DOH Form 116E only for Utah residents?
A: Yes, DOH Form 116E is specifically for Utah residents who want to enroll in health insurance.
Q: Are there any fees to submit DOH Form 116E?
A: No, there are no fees associated with submitting DOH Form 116E.
Q: When should I submit DOH Form 116E?
A: DOH Form 116E should be submitted during the open enrollment period or within 60 days of a qualifying life event.
Q: What happens after I submit DOH Form 116E?
A: After submitting DOH Form 116E, your information will be reviewed, and you will be notified of your eligibility for health insurance in Utah.
Q: Can I make changes to DOH Form 116E after submission?
A: Yes, you can make changes to DOH Form 116E within the open enrollment period or within 60 days of a qualifying life event.
Form Details:
- Released on February 1, 2021;
- The latest edition provided by the Utah Department of Health and Human 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 printable version of DOH Form 116E by clicking the link below or browse more documents and templates provided by the Utah Department of Health and Human Services.
