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Midwest Operating Engineers Annual Open Enrollment
January 13, 2025 through February 28, 2025
12
Questions
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HIPAA
Compliance
1
Member Name
*
This field is required.
First Name
Last Name
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2
MOE ID Number
*
This field is required.
Your MOE ID number is located on your BCBS card and your MOE Vendor ID card
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3
Member's Email
*
This field is required.
example@example.com
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4
Member's Phone Number
*
This field is required.
Please enter a valid phone number.
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5
Which event would you like to attend?
*
This field is required.
District 6 - Lakeville - at the Union Hall
District 7 - Merrillville - at the Union Hall
District 8 - Rock Island - at the Union Hall
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6
District 1 -
Central Standard Time
*
This field is required.
The District 1 Open Enrollment event will be held at the
Fringe Benefit Funds Office
.
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7
District 3 -
Central Standard Time
*
This field is required.
The District 3 Open Enrollment event will be held at the District 3 Union Hall.
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8
District 4 -
Central Standard Time
*
This field is required.
The District 4 Open Enrollment event will be held at the District 4 Union Hall..
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9
District 5 -
Central Standard Time
*
This field is required.
The District 5 Open Enrollment event will be held at the District 5 Union Hall.
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10
District 6 -
Central Standard Time
*
This field is required.
The District 6 Open Enrollment event will be held at the District 6 Union Hall..
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11
District 7 -
Central Standard Time
*
This field is required.
The District 7 Open Enrollment event will be held at the District 7 Union Hall.
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12
District 8 -
Central Standard Time
*
This field is required.
The District 8 Open Enrollment event will be held at the District 8 Union Hall.
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13
Appointment Type
*
This field is required.
If you plan to retire in the upcoming Plan Year (April 1, 2025 - March 31, 2026), please contact the Retirement Services Group at (708) 579-6630 to schedule an appointment for retirement planning or to complete your retirement application.
Health plan option selection only
Health plan option selection & RMSP credit transfer
RMSP credit transfer only
Adding or removing a dependent(s)
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14
Do you need a translator for your appointment?
*
This field is required.
No
Yes, Spanish
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15
If I am unable to attend my appointment, I understand that I must contact the Fund Office Marketplace Call Center at 708-579-6675 at least 24 hours in advance to re-schedule or cancel.
*
This field is required.
Yes, I acknowledge the statement above.
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