The Maryland Employees Vision form is a document designed for state employees in Maryland to select or adjust their vision insurance benefits. This form is used to enroll in a new vision plan, change the current vision coverage, or update personal information related to the employee's vision insurance.
All state employees of Maryland who are eligible for benefits and wish to enroll in, change, or update their vision insurance coverage can use this form. Dependents of these employees, such as spouses and children, may also be covered under certain plans selected through this form.
The form should be submitted during the open enrollment period typically announced by the state's benefits administration. It can also be submitted within 60 days of experiencing a qualifying life event, such as marriage, birth of a child, or a change in employment status.
To complete the form, the following information is required:
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Employee's personal information, including name, address, and social security number
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Details of the vision plan selected, including the plan name and coverage level
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Information on dependents to be covered, if applicable
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Employment information, such as department and position
The completed form can be submitted to the Human Resources department of your employing agency. Some agencies may allow submission via email or an online portal, so it's recommended to check with your HR representative for the most accurate submission guidelines.
Yes, changes can be made if they are submitted within the open enrollment period or within 60 days of a qualifying life event. To make changes after submission, a new form must be filled out and submitted according to the guidelines provided by the state's benefits administration.
If the form is submitted after the designated enrollment period and no qualifying life event is applicable, the submission may be rejected. In such cases, employees might have to wait until the next enrollment period to make changes to their vision coverage.
There is no cost to submit the form itself. However, enrolling in or changing a vision plan may result in adjusted premiums or costs associated with the chosen vision coverage plan.
For assistance, employees should contact their agency's Human Resources department or the state benefits administration. They can provide guidance on completing the form and answer any specific questions related to vision coverage options.
What should I do if I no longer wish to have vision coverage?
If you decide that you no longer want vision coverage, you'll need to complete the form indicating your decision to cancel your coverage. This should be done during the open enrollment period or following a qualifying life event, and the form should be submitted according to your agency's submission guidelines.