Get Tx Aetna Gr-69068-8 2015-2025

The TX Aetna GR-69068-8 is an essential form for employees to enroll in employee benefits and make necessary changes. Properly completing this form is crucial to ensure that all information is processed accurately and promptly.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the enrollment form and open it in your preferred editor.
2. Begin with Section A, Employee Information. Fill in your last name, first name, middle initial, and social security number. Provide your home address, home phone number, and salary (if enrolling for life coverage). Select the appropriate employment status and primary language.
3. Move to Section B, Coverage Selection. Clearly print your group's control number and select the medical plan that you wish to enroll in. Ensure you enter any necessary dental or vision plans if applicable.
4. In the same section, address the life and disability options available to you. Check all applicable boxes for coverage types and provide details in the designated areas.
5. Proceed to Section C, Individuals Covered. List all individuals for whom you are enrolling or changing coverage. Include needed information such as name, sex, birthdate, and specify if it is for adding, changing, or removing coverage.
6. Continue to Section D, Dependent Information, if applicable. Provide information for any dependents living at a different address.
7. Next, in Section E, Coordination of Benefits, indicate if you will have other health insurance along with this coverage and provide the necessary details.
8. In Section F, Declination/Waiver of Coverage, if you choose to waive coverage, specify the reasons and sign the form to confirm your decision.
9. Review your completed form for accuracy to ensure that all sections are filled out correctly. Once you are satisfied, save your changes or download the completed form for submission.

Complete your employee enrollment process by filling out the TX Aetna GR-69068-8 form online today.