Get Archdiocese Of Galveston-houston Benefit Enrollment Form For Qualifying Life Events (qle) 2020-2025

This guide provides a clear, step-by-step approach to completing the Archdiocese Of Galveston-Houston Benefit Enrollment Form for Qualifying Life Events online. Whether you are a lay employee or a clergy member, this information will help ensure you submit the form accurately and on time.

Follow the steps to efficiently complete the enrollment form.

1. Begin by selecting the ‘Get Form’ button to access the enrollment form and open it in your preferred editor.
2. Fill out your personal information, including your last name, first name, middle initial, address, social security number, date of birth, and contact numbers.
3. Indicate your gender and marital status by selecting the appropriate options provided in the form.
4. Complete the employee information section by providing your job title, work location, and number of hours worked per week.
5. In the family information section, enter the details of each dependent you wish to enroll, including their names, social security numbers, gender, relationships, and dates of birth.
6. Select the benefits options you wish to enroll in, which may include medical, dental, vision, and supplemental life insurance plans. Carefully review the bi-weekly premiums associated with each option.
7. Attach any required documentation to support your enrollment, such as marriage certificates, birth certificates, or other relevant proof of eligibility.
8. Review your completed form thoroughly to ensure all information is accurate and all necessary documents are included.
9. Once you have verified all information, you can save your changes, and choose to download or print the form for your records.

Complete your enrollment form online today to secure your benefits!