Get Enrollment/change Form Dental/vision ... - Guardian

The enrollment/change form dental/vision from Guardian is essential for users looking to modify their dental and vision coverage. This guide provides clear, step-by-step instructions on completing the form to ensure a smooth application process.

Follow the steps to complete your enrollment/change form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Begin by filling out Section 1, where you will check the appropriate box for your request, such as adding an employee, spouse, or indicating a new hire. Include the date of marriage or adoption, if applicable.
3. In Section 2, select the coverage options for dental and vision. Ensure that you understand any limitations on dependent enrollment according to your selections.
4. Section 3 requires you to provide personal information, including your name, sex, address, and social security number. Make sure to print clearly in black or blue ink.
5. In Section 4, indicate if you are refusing or dropping coverage. Provide reasons for refusal and complete any additional required information.
6. Complete Section 5 if you have experienced a loss of other coverage. Specify the reason for the loss and the relevant dates.
7. In Section 6, include any additional relevant details or changes regarding dependents or other coverage options.
8. Review the entire form for accuracy, ensuring all sections are completed as required. Once finalized, save your changes.
9. You can download, print, or share the completed form as necessary to submit it according to Guardian's procedures.

Start your enrollment process now and complete your documents online for seamless coverage adjustments.