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 is a legal document that was released by the Maryland Department of Budget and Management - a government authority operating within Maryland.
Q: What is the contractual/variable hour employees health benefits enrollment and change form?
A: It is a form used by contractual or variable hour employees in Maryland to enroll or make changes to their health benefits.
Q: Who can use this form?
A: Contractual or variable hour employees in Maryland.
Q: What can I do with this form?
A: You can use this form to enroll in or make changes to your health benefits.
Q: Is this form only for employees in Maryland?
A: Yes, this form is specifically for contractual or variable hour employees in Maryland.
Form Details:
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.