Forms for Washington (District of Columbia)
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download the reader. |
| |
|
 Employee
Enrollment Form |
COBRA
Document |
| Employer
Enrollment Form (12/12) * |
Agent
Data Sheet |
| Employer
Enrollment Form (12/24) * |
Enrollment
Change Form |
| Out
Of Network Claims Form |
|
| Request
Login for OptiCare's Online Eye Health Manager - For
Employers only |
* Refers to the time of contract validity. 12/12
is a contract renewable every year and 12/24 is a contract renewable
every two years. Please select the one that your contract is signed
for.
