Dd mo ef 5 13 2025

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The document is a Dental and Vision Benefits Enrollment/Change Application form for Delta Dental and DeltaVision. It provides instructions for submitting the application, outlines sections to be completed based on the applicant's status (new enrollment, COBRA, or changes), and includes sections for employee information, spouse and dependent details, coordination of benefits, coverage changes, and employee authorization. The form emphasizes the need for accurate information and signatures to process requests.

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Click ‘Get Form’ to open the dd mo ef 5 13 in the editor.
Begin with Section 1, where you will input your Employee Information. Fill in details such as Group Name, Group Number, and your personal information including First Name, Last Name, Social Security Number, and Date of Birth.
Proceed to Section 2 for Spouse and Dependent Information. Here, list any dependents you wish to enroll or cancel. Ensure you check the appropriate boxes for enrollment status.
In Section 3, answer questions regarding Coordination of Benefits. This section helps determine if you have other dental coverage through a spouse or other means.
Move on to Section 4 for any Change of Coverage requests. Indicate if you're adding or cancelling coverage and provide necessary details about the changes.
Finally, complete Section 5 by signing and dating the form to authorize your application. Make sure all information is accurate before submission.

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2021	4.8 Satisfied (41 Votes)
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How many people died in the 2011 Joplin tornado? The massive tornado killed 158 people, ing to NOAA, and injured more than 1,000 people and displaced 9,200 after some 4,000 homes were damaged.

What was the largest EF5 tornado in history?

The path of the Tri-State Tornado (at times rated as a F5) of March 18, 1925, in its full, originally calculated length of 219 miles. Subsequent research found that the longest unbroken damage path within this track was apparently 151 miles long. This was the deadliest single tornado in U.S. history.

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