Get the free Per AB 26 - Section 34167 and 34169 (*)

Name of Redevelopment Agency:SONOMA COMMUNITY DEVELOPMENT AGENCYProject Area(s)SONOMA COMMUNITY DEVELOPMENT AGENCY Page 1 of 1 PagesENFORCEABLE OBLIGATION PAYMENT SCHEDULE Per AB 26 Section 34167

How to fill out per ab 26

How to Fill Out PER AB 26:

1. Start by obtaining the PER AB 26 form from your employer or human resources department. This form is typically required for individuals who are seeking continued health coverage beyond the age of 26.
2. Begin by providing your personal information on the form, including your full name, address, and contact details. Ensure that all the information is accurate and up to date.
3. Next, you will need to indicate the type of coverage you are requesting. This could include options like extending your existing employer-sponsored health insurance or choosing a private health insurance plan.
4. If you are opting for extension of your employer-sponsored health insurance, you may need to provide additional information such as your employer's details, policy number, and the effective date of coverage.
5. In case you are selecting a private health insurance plan, you will need to provide details about the plan you wish to enroll in, including the insurance provider's name, plan type, and any additional members who will be covered under the policy.
6. Depending on the requirements of your employer or insurance provider, you may also need to include supporting documents with the PER AB 26 form. This might include proof of dependency, such as a marriage certificate or birth certificate for children.
7. Once you have completed all the necessary information on the form, review it carefully to ensure accuracy. Any mistakes or missing details could result in delays or denial of coverage.
8. Finally, sign and date the form to certify that the information provided is true and accurate. Keep a copy for your records and submit the original form to the appropriate department or entity as instructed by your employer or insurance provider.

Who Needs PER AB 26?

1. Individuals who are no longer eligible to remain on their parents' health insurance plan after reaching the age of 26 might need to fill out PER AB 26.
2. This also applies to those who have lost their existing health coverage due to other circumstances, such as losing a job or aging out of dependent coverage.
3. PER AB 26 is especially relevant for individuals who require continued health insurance coverage and want to explore options beyond their 26th birthday. This form allows them to request extended coverage under certain circumstances, ensuring they have access to necessary healthcare services.

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