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Changing Coverage Outside of Open Enrollment
  Link   Dependent Change Formpdf format | word versionword format
  Link   Basic Health Coverage- Applicationpdf format | word versionword format
  Link   Optional Application (Life Insurance, AD&D, Disability) pdf format
  Link   Eide BaillyExternal site- MMB is not responsible for accessibility compliance on externally linked sites
  Link   Foster Child Certificationpdf format | word versionword format
  Link   Pre-tax Request to Waive mid-yearpdf format
  Link   When you may change coverage outside of Open Enrollment (qualified life events)pdf format

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Minnesota Management & Budget | 400 Centennial Office Building | 658 Cedar Street | Saint Paul, MN 55155
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