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Get Std 692
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How to fill out the Std 692 online
The Std 692 form is a crucial document for enrolling in dental plans, allowing individuals to manage their dental insurance coverage efficiently. This guide provides comprehensive steps to help users navigate the online process for completing the Std 692, ensuring clarity and accuracy in submission.
Follow the steps to successfully complete the Std 692 online.
- Press the ‘Get Form’ button to obtain the Std 692 and open it for editing.
- Begin by selecting the 'Type of Action' in Section A, indicating whether you are enrolling for the first time, canceling coverage, or making changes.
- In Section B, enter the 'Name of Dental Plan' and the 'Provider/Facility Number' if applicable.
- Provide your Social Security Number and personal details in the appropriate fields, ensuring all information is accurate.
- List all family members to be enrolled in the dental plan, including their relationship to you and other required details.
- In Section C, check if you are a permanent intermittent employee and indicate your marital status, ensuring to fill in correctly to avoid delays.
- Section D requires you to check the appropriate box regarding your enrollment preferences and certify the eligibility of the family members listed.
- Finally, review all information for accuracy, then save your changes, and download or print the completed Std 692.
Complete your Std 692 document online to manage your dental coverage effectively.
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Modes to register complaint or report: ● sending SMS to short code 1909; or. ● calling on 1909; or. ● Interactive Voice Response System (IVRS); or. ● Mobile app developed in this regard either by the Authority or by any other person or entity and approved by the Authority; or.
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