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Get CCHP Decline / Waiver Form

Decline/Waive Coverage To be completed ONLY if declining coverage with CCHP for self or eligible dependents Group Name: Group Number: Name of Declining Employee: Complete this form if you are declining.

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The following tips will help you fill out CCHP Decline / Waiver Form easily and quickly:

  1. Open the template in the feature-rich online editing tool by clicking Get form.
  2. Fill out the requested fields that are yellow-colored.
  3. Press the green arrow with the inscription Next to move from field to field.
  4. Go to the e-signature solution to e-sign the document.
  5. Insert the relevant date.
  6. Read through the entire document to be sure that you have not skipped anything important.
  7. Press Done and download your new document.

Our platform allows you to take the whole procedure of executing legal forms online. For that reason, you save hours (if not days or weeks) and eliminate extra costs. From now on, fill in CCHP Decline / Waiver Form from home, business office, or even while on the go.

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