Copower forms 2025

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4 out of 5

48 votes

The document is a CoPower ONE Employee Enrollment/Change Form that must be completed by a group administrator and submitted to CoPower within 30 days of any changes. It collects employer and member information, including personal details, plan selections, reasons for enrollment or change, and dependent information. The form also outlines eligibility criteria for dependents and provides contact information for CoPower.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (70 Votes)
2018	4.3 Satisfied (40 Votes)
2013	4 Satisfied (48 Votes)

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