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Improved pension eligibility Form: What You Should Know

Do you have pension coverage? If Yes ā€” You do not have to report your expenses (as shown on theĀ  See Instructions 21-0510 (a) The ā€œup to the dateā€ dates are the dates from which annual information can begin. They should cover only the calendar year (excluding tax return filing date) You also may want to use the date that you beganĀ  To ensure that medical information is completed promptly, please complete your report as soon as possible after receiving the medicalĀ  instructions. If you have been issued EFC or ACP, your benefits should be available to you by theĀ  1. You may use the date of receipt of your benefits (See Instructions 21-0510 (b)) to calculate your coverage andĀ  payments to date. 1a. If you receive a letter or notice of a change in benefits, you should pay the appropriate amount andĀ  pay it by the date that the change is effective. The receipt of the notice by you and the receipt of theĀ  new receipt will be considered to have been received at the same time the report is processed. Example 1b. If you do not receive any notice of a change in benefit,Ā  1c. You must wait to report your eligibility for the new higher rate for at least five (5) calendar andĀ  monthly installments of benefits, to begin with on the first month in the year. If you fail to pay timely,Ā  your entire benefit will be subject to late payment and the amount reported will not be sufficient to meetĀ  your entitlement. For more information on this subject, see the instructions. You will receive a letter containing a new Notice of Benefits if the payment deadline or date is notĀ  approximated or if the last payment was not received by the deadline. Medical expenses should be reported by July 1 of each year. IMPROVED PENSION APPLICATION TO DETERMINE WHETHER YOU HAVE PENSION COVERAGE (REQUIRED). If you have been issued EFC or ACP, you should have medical insurance as of eitherĀ  your receipt date ORĀ  of the date you first began pension coverage.

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