Form DHHS116E Health Insurance Enrollment Information - Utah

What Is Form DHHS116E?

This is a legal form that was released by the Utah Department of Workforce 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 Form DHHS116E?
A: Form DHHS116E is a Health Insurance Enrollment Information form for Utah.

Q: Who needs to fill out Form DHHS116E?
A: Individuals who want to enroll in a health insurance plan in Utah need to fill out Form DHHS116E.

Q: What information do I need to provide on Form DHHS116E?
A: You will need to provide personal information, income information, and information about your current health insurance coverage, if any.

Q: When should I fill out Form DHHS116E?
A: You should fill out Form DHHS116E during the open enrollment period, which typically occurs once a year. However, certain life events, such as losing your job or getting married, may qualify you for a special enrollment period.

Q: What happens after I submit Form DHHS116E?
A: After you submit Form DHHS116E, your information will be reviewed and you will be notified of your eligibility for health insurance coverage.

Q: Can I apply for health insurance coverage without filling out Form DHHS116E?
A: No, Form DHHS116E is the required form for enrolling in health insurance coverage in Utah.

Q: Is there a fee for submitting Form DHHS116E?
A: No, there is no fee for submitting Form DHHS116E.

Q: Can I get help filling out Form DHHS116E?
A: Yes, you can get help filling out Form DHHS116E by contacting your local Department of Health office or by seeking assistance from a certified insurance agent or broker.

Q: Is Form DHHS116E only for Utah residents?
A: Yes, Form DHHS116E is specifically for residents of Utah who want to enroll in health insurance coverage.