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Get Instructions For Completing Employee Enrollment/change Form

Front of the form contains a number. Instructions for completing each section appear below. Prior to making your Health Benefit Coverage selection, make sure that you review your Summary Plan Description. Your local Human Resource Office will provide marketing materials/provider directories of the managed care plans offered in your area, or the telephone numbers of the plans for you to request that material. These materials will help you to make the important decision of which health plan to ch.

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