Edit, Download, and Sign the GoodLife Cancellation Form for CDHA Members
Form
eSign
Add Annotation
Share Form
How do I fill this out?
To fill out this cancellation form, first, ensure that you have all the necessary information at hand. This includes the member's identification and contact information. Carefully follow the prompts on the form to complete the required details accurately.
How to fill out the GoodLife Cancellation Form for CDHA Members?
1
Print the cancellation form from the website.
2
Fill in the personal information of the member.
3
Indicate whether you are cancelling your membership or that of a family member.
4
Ensure to provide accurate contact details.
5
Fax or submit the completed form by the deadline specified.
Who needs the GoodLife Cancellation Form for CDHA Members?
1
CDHA employees who wish to cancel their GoodLife membership.
2
Family members of CDHA employees who are currently on the membership plan.
3
Individuals experiencing medical issues that require cancellation.
4
Employees who are leaving their job and need to cancel their membership.
5
Users looking to pause their membership for personal reasons.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the GoodLife Cancellation Form for CDHA Members along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.
Edit your GoodLife Cancellation Form for CDHA Members online.
With PrintFriendly's new PDF editing feature, users can easily make updates to their forms. Simply open the PDF in our editor and make necessary adjustments to the text. Once completed, users can download the edited version for submission.
Add your legally-binding signature.
Users can now sign their PDFs directly on PrintFriendly. This feature allows for easy electronic signatures right within the PDF editor. Sign your document with just a few clicks to validate your cancellation request.
Share your form instantly.
Sharing your PDF is straightforward with PrintFriendly's new functionality. You can easily send your edited PDFs via email or share them through other platforms. This feature ensures that you can provide copies of your cancellation form without any hassle.
How do I edit the GoodLife Cancellation Form for CDHA Members online?
With PrintFriendly's new PDF editing feature, users can easily make updates to their forms. Simply open the PDF in our editor and make necessary adjustments to the text. Once completed, users can download the edited version for submission.
1
Open the PDF using PrintFriendly's editor.
2
Make any desired changes to the content.
3
Review the adjusted information for accuracy.
4
Save your changes to the document.
5
Download the edited PDF for submission.
What are the instructions for submitting this form?
To submit the cancellation form, please ensure it is fully completed and signed. Email submissions are not accepted; however, you can fax the form to Jeannie Shepherd at (902) 473 6414. For physical submissions, ensure to send it to the designated office location by the mentioned deadline.
What are the important dates for this form in 2024 and 2025?
For 2024, cancellations must be submitted by May 1st for processing on May 15th. In 2025, please submit your form by the 1st of May for May's processing. Ensure to check for updates on submission deadlines frequently.
What is the purpose of this form?
The purpose of this cancellation form is to provide GoodLife members affiliated with CDHA a formal method to submit their membership cancellations. It serves members who have reached a decision to terminate their memberships due to employment changes or personal circumstances. The form ensures that all necessary information is collected for proper processing and record-keeping.
Tell me about this form and its components and fields line-by-line.
- 1. Name of CDHA Employee: The full name of the employee cancelling their membership.
- 2. Employee ID#: Unique identification number assigned to the CDHA employee.
- 3. GoodLife Membership #: The membership identification number associated with GoodLife.
- 4. Email address: Contact email for further communications.
- 5. Phone Number: Contact number for any inquiries regarding the cancellation.
- 6. Rate currently being deducted: Information about the current monthly rate being charged.
- 7. Information about Family Members: Details of any dependents whose memberships may also need to be cancelled.
What happens if I fail to submit this form?
Failure to submit the cancellation form on time may result in the form being processed for the following month. This means that your cancellation may not take effect immediately, leading to continued deductions. It's important to adhere to submission deadlines to prevent further charges.
- Late Processing: Your request may be postponed to the next month, increasing costs.
- Membership Fees: Continued charges can occur if the form is not submitted promptly.
- Confirmations Delayed: You might not receive confirmation of your cancellation in a timely manner.
How do I know when to use this form?
- 1. Health Issues: Use this form if medical reasons necessitate the cancellation of your membership.
- 2. Employment Change: Employees leaving CDHA should submit this form to end their membership.
- 3. Family Cancellations: CDHA members can submit this form on behalf of their dependents.
Frequently Asked Questions
How do I cancel my GoodLife membership?
To cancel your GoodLife membership, please complete the cancellation form and submit it by the deadline.
What information do I need to fill out the form?
You will need to provide personal details such as your name, Employee ID, and GoodLife Membership number.
Can I cancel my membership for someone else?
Yes, you can cancel your membership or that of a family member by indicating it on the form.
Where do I send the completed cancellation form?
You can fax the completed form to Jeannie Shepherd at (902) 473 6414.
Is there a deadline for submitting the cancellation form?
The cancellation form must be received by the 1st of the month for it to be processed on the 15th.
Can I edit the PDF before submitting?
Yes, you can easily edit the PDF using PrintFriendly’s editing tools.
What happens after I submit my cancellation form?
Your cancellation request will be processed, and you will receive confirmation.
How will I know my cancellation is approved?
You will receive a confirmation once your cancellation request has been processed.
Can I download the form for offline use?
Absolutely, PrintFriendly allows you to download your PDF for offline access.
Is assistance available if I have trouble filling the form?
Yes, you can reach out to customer support for help with any issues you encounter.
Related Documents - GoodLife CDHA Cancellation
Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.
Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.
TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.
Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.
Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.
Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.
Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.
MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.
Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.
Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.
Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.
Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.
