Examples of SPOUSAL COVERAGE in a sentence
SPOUSAL INFORMATION (IF APPLYING FOR SPOUSAL COVERAGE) Service Number (SN)CFOne #RankMaiden Name (if applicable)InitialsFirst NameSurnameM F Date of Marriage(if applicable) (dd-mm-yyyy)Date of Birth (dd-mm-yyyy)Mailing address same as above:Only enter mailing address if different from member:Apt.
SPOUSAL COVERAGE: Any new Participants to the COG, after June 30, 2015, with working spouses who have the ability to be covered under an insurance plan through his/her place of employment, will be required to take his/her plan as their primary plan.
SPOUSAL COVERAGE Dependent spouses must first utilize their employer/retirement benefit plans if coverage is available to them at any cost.
All other subsections will come into force at the same time as the transfer scheme.
Box 447 Arvada, CO 80001-0447 (303) 430-9334 SPOUSAL COVERAGE VERIFICATIONName of Participant: Name of Spouse: [Print Name] [Print Name]Participant Social Security Number: Important: please ensure this form is fully completed.Your response, or lack of response, may impact your spouse’s health care coverage.
SPOUSAL COVERAGE PROVISION - Effective January 1, 2022(You and your spouse must complete sign this form)A "Spousal Coverage" provision has been initiated and is designed to require other third party employers to pay their share of health care costs.
GRAND-PARENTING OF SPOUSAL COVERAGE........................................................................