Hello thank you so much for coming in its wonderful to see you today today we're going to go over your employment information form and this is what it looks like just briefly this is the request for employment information which is it being related to your bennett near medicare that's right now you can see it's a very simple form it's only one page, and it has basically three sections to it, we have section a which is completed by the individual signing up for medicaid of Medicare Part B section B is completed by the employers and then down here we have the hours Bank Arrangements only now we have two separate documents that go along with this form and they kind of help familiarize people with the form this is the first page this is the is the initial page that comes along with this form, and it is information about the request for employment information, so I'm just going to go over this with you this is from the Department of Health and Human Services C it's very brief we only have just a few paragraphs here, so I'm going to read this to you is that okay what is the purpose of this form in order to apply for Medicare in a special enrollment period you must have or had group health plan coverage within the last eight months through your or your spouse's current employment people with disabilities must have large group health plan coverage based on your or your spouse's or a family members current employment this form is used for proof of group health, health care coverage based on current employment this information is needed to process your Medicare enrollment application the employer that provides the group health plan Brig completes the...
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How to prepare LITHO Tops Form 3285
About LITHO TOPS Form 3285
Number Page 4. ) AGE: 20-55 Yrs. 20-35 Yrs. 20-50 Yrs. 40-65 Yrs. 65+ Yrs. 2. What is your position? C.F.O. D.E.O. Manager / Exec. Co- Director / Co-Managing Director / Director / Director-Director 3. What is your name and title? Your contact and e-mail: Your position is the same as the name listed above. 4. What phone number do you have? (Please put the above information at the bottom of every page of your CV.) 5. What is the best way to reach you? If you would like to see a sample of your work or if you would like more information, please send an e- mail. You will receive a reply by e- mail within a week. 6. What type of work do you do? A project manager. The type depends on your particular area of interest and role. If you are in a specific field, please specify what it is at the end of your statement. If you have not specified the type of work, then please describe it. 7. Can you provide an example of any work experience that demonstrates expertise? If you have no experience that proves expertise, then we do not consider this to be an essential qualification for this position. 8. Do you have any references to recommend you in your work? To ensure that our decision maker receives the best information with respect to a candidate, we may request that you obtain references from individuals in your field of expertise. References will be considered if they: Are people who share your interest: This includes people from your organization or organizations in which you have been involved. Also, individuals who share your academic or training background with respect to that specific work area. Do not include managers, supervisors, or any other individuals whose involvement involves decision-making or the making of decisions. May appear to be a group of employees of your institution or organization who are concerned individuals, but who do not have a substantial direct link between their work and yours. May describe your work through a personal profile. 9. How closely do you work with the person to whom you are applying, if at all? An example would be if you work directly with that individual.
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