BOR0030112MI013112POSHDHPFINALR1 doc - usg 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by reviewing the document's sections, such as 'About Health Savings Accounts' and 'Benefits at a Glance', to understand your coverage options.
3. Fill in personal information in the designated fields, ensuring accuracy for names, dates of birth, and contact details.
4. For dependent coverage, provide legal names and birth dates of all eligible dependents as required in the enrollment section.
5. Review any additional sections that pertain to changes in coverage or qualifying events, making sure to check boxes or fill fields as necessary.
6. Once completed, utilize our platform’s features to save your progress and submit the form electronically for processing.

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