Get Ascend Open Enrollment Application 2021-2025

The Ascend Open Enrollment Application is a crucial document for enrolling in healthcare plans. This guide provides clear and detailed steps to assist users in completing the application accurately and efficiently online.

Follow the steps to complete the application successfully.

1. Click ‘Get Form’ button to obtain the Ascend Open Enrollment Application and open it for editing.
2. Begin by creating your login. Ensure you have a secure connection and enter your credentials to access the application.
3. Fill in your personal information in the 'Employee Information' section. This includes your full legal name, contact details, social security number, and birthdate.
4. Indicate your marital status and complete additional sections regarding your spouse if applicable. Make sure to fill out their information accurately.
5. Provide specific details for any dependents you wish to add to your plan, including their relationship to you, names, and birthdates. Select if they have other insurance.
6. Select your desired medical plan option from the available choices: the Accelerate Plan, Access Plan, or Decline Coverage. Read the descriptions carefully to ensure eligibility.
7. In the ‘Employee Authorization and Certification’ section, read the terms thoroughly and provide your signature and the date to certify your application.
8. Review the entire form for accuracy, ensuring all required fields are completed. Save your changes.
9. Once you are satisfied with the application, you may download, print, or share the form as needed before submitting it to your employer.

Complete the Ascend Open Enrollment Application online today to secure your healthcare coverage.