This registration only needs to be completed by members if they are electing HealthChoice High, HealthChoice High Alternative, HealthChoice Basic, HealthChoice Basic Alternative, HealthChoice HDHP or HealthChoice Dental plans for the member and/or dependents for the plan year 2026.

Since you indicated that you are not electing any of those plans for the member and/or dependents, you do not need to complete this registration.

Thank you.

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