Important - State of Michigan - michigan 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by reviewing the special Open Enrollment information provided. Note the dates: August 11 to August 27, 2004, for making any changes.
3. Identify your current HMO and check if you wish to switch to another HMO or the State Health Plan PPO. Ensure your zip code is within the service area of your chosen HMO.
4. Fill out the enrollment form carefully. Include all required personal information and select your desired health care option.
5. Once completed, save your changes and print the form. Make sure to send it to the Michigan Department of Civil Service before the deadline, ensuring it is postmarked by August 27, 2004.

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