This page (revision-13) was last changed on 26-Nov-2021 10:22 by RForbes

This page was created on 26-Nov-2021 10:22 by JMyers

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Page revision history

Version Date Modified Size Author Changes ... Change note
13 26-Nov-2021 10:22 3 KB RForbes to previous
12 26-Nov-2021 10:22 3 KB JEscott to previous | to last
11 26-Nov-2021 10:22 2 KB JEscott to previous | to last
10 26-Nov-2021 10:22 2 KB JEscott to previous | to last
9 26-Nov-2021 10:22 2 KB JEscott to previous | to last
8 26-Nov-2021 10:22 2 KB JMyers to previous | to last MY_BENEFIT_ELECTIONS ==> WEBEL
7 26-Nov-2021 10:22 2 KB JMyers to previous | to last MY_BENEFIT_ELECTIONS ==> WEBEL
6 26-Nov-2021 10:22 2 KB JMyers to previous | to last
5 26-Nov-2021 10:22 2 KB JMyers to previous | to last
4 26-Nov-2021 10:22 2 KB JMyers to previous | to last
3 26-Nov-2021 10:22 2 KB JMyers to previous | to last
2 26-Nov-2021 10:22 2 KB JMyers to previous | to last
1 26-Nov-2021 10:22 2 KB JMyers to last

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At line 35 changed one line
By clicking on this button you are requesting to be removed from enrollment in this plan as of the date you indicate.
By clicking on the [Decline Coverage|ACT_DECLINE_BENEFIT] button you are requesting to be removed from enrollment in this plan as of the date you indicate.
At line 51 changed one line
By clicking on this button you are requesting to be enrolled in the plan and coverage as of the effective date indicated.
By clicking on the [Elect Coverage|ACT_ELECT_BENEFIT] button you are requesting to be enrolled in the plan and coverage as of the effective date indicated.