Group Dental and Eye Care - Cornell University - hr cornell 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, employee ID, and contact details. Ensure accuracy for seamless processing.
3. Select your preferred dental plan (Plan A or Plan B) by checking the appropriate box. Review the benefits of each plan to make an informed choice.
4. Fill out the coverage section for yourself and any dependents you wish to enroll. Include their names, dates of birth, and relationship to you.
5. Review the eligibility criteria and enrollment periods outlined in the document. Make sure you are submitting within the specified time frame.
6. Once all fields are completed, save your changes and submit the form electronically through our platform for a quick response.

Start using our platform today to easily manage your Group Dental and Eye Care enrollment!