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Member change form - Matson Insurance - bcfs

Member change form - Matson Insurance - bcfs 2025

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The document is a Member Change Form used for updating employee or contract holder information related to health care benefits. It includes sections for personal details, reasons for changes (such as adding or canceling dependents), and other modifications like name or address changes. The form requires specific information about dependents, including their relationship, medical coverage selections, and physician details. Additionally, it addresses other health insurance coverage and Medicare eligibility. An authorized signature is required to confirm the accuracy of the provided information.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (120 Votes)
2016	4.3 Satisfied (52 Votes)
2014	4.3 Satisfied (58 Votes)
2013	4.2 Satisfied (46 Votes)
2012	4 Satisfied (51 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I change my life insurance beneficiary on Workday?

To change your beneficiary at any time, click on your benefits worklet and select Change Benefits and select the Moments that Matter event. Please see the Moments that Matter guidance to help you with this. One or more primary beneficiaries can be designated in Workday as long as the total percentage equals 100%.

How do I change my OPM health insurance?

You may change the plan in which you are enrolled or from high to low option coverage during the annual Open Season for electing coverage. If you need assistance with your health benefits enrollment, call 1 (888) 767-6738 , to change your enrollment or if you need to speak with a Customer Service Specialist.

How do I update my insurance on Workday?

To submit changes, go to Workday Benefits and Pay worklet Change Benefits select the appropriate qualifying event type: Select Beneficiary Change, HSA Contribution Change, or Divorce/Legal Separation/Dissolution of Domestic Partnership if applicable.

How do I change my information on Workday?

You can also access Change Your Address by: Click on Your Name in the top right hand corner of the Workday Homepage. Click on the View Profile hyperlink under your name. Click on the Related Actions. Hover your mouse over the Personal Data hyperlink. Click on Change Contact Information. Click on the Paper and Pencil.

How do I change my Compensation plan on Workday?

From the Employee Profile, select the Actions button to display the menu of available Actions. Hover over Compensation and choose Request Compensation Change. 4. Select the Effective Date.