Get Macomb County Open Enrollment Election Form Effective Date: 1-1 ... - Macombcountymi

Filling out the Macomb County Open Enrollment Election Form is an important step in managing your health insurance options. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form online effectively.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editor.
2. In Section 1, provide your general information by clearly printing your name, gender, birth date, social security number, and address. It is essential to fill this section out accurately for identification purposes.
3. For Section 2, review your current insurance contracts and check the appropriate boxes for medical, vision, and dental coverage. Make sure to indicate if you are waiving any coverage options.
4. In Section 3, select your new insurance choices. This includes choosing from available dental plans and confirming if your enrollment will result in dual coverage. If applicable, complete the coordination of benefits form.
5. Fill out Section 4 by selecting your Primary Care Physician (PCP) and providing relevant details for yourself, your spouse, and any dependents you are adding or deleting.
6. In Section 5, review the statements regarding your open enrollment and fraud awareness. Sign and date this section to confirm your understanding and agreement.
7. Finally, ensure all other required sections are completed. You can then save your changes, download, print, or share the filled-out form as necessary.

Complete your documents online to ensure your insurance choices are processed on time.