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This document provides instructions for Illinois State University employees on how to apply for premium reimbursement for health insurance under domestic partnership guidelines.
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How to fill out Illinois State University Domestic Partner Health Insurance Premium Reimbursement Instructions
01
Obtain the Illinois State University Domestic Partner Health Insurance Premium Reimbursement form from the HR website.
02
Fill out the required personal information, including your name, employee ID, and contact details.
03
Provide information about your domestic partner, including their name, relationship to you, and any necessary identification details.
04
Attach copies of the health insurance premium statements showing the amount paid for your domestic partner's coverage.
05
Calculate the total amount you are requesting for reimbursement based on the attached statements.
06
Sign and date the form to certify that all provided information is accurate and complete.
07
Submit the completed form along with the documentation to the specified office or email provided in the instructions.
Who needs Illinois State University Domestic Partner Health Insurance Premium Reimbursement Instructions?
01
Employees of Illinois State University who cover their domestic partner under their health insurance plan.
02
Individuals seeking to reimburse health insurance premiums for their domestic partner.
03
Those wanting to ensure they comply with the university's reimbursement policies and procedures.
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What is Illinois State University Domestic Partner Health Insurance Premium Reimbursement Instructions?
The Illinois State University Domestic Partner Health Insurance Premium Reimbursement Instructions outline the process for reimbursing eligible employees for health insurance premiums paid for their domestic partners.
Who is required to file Illinois State University Domestic Partner Health Insurance Premium Reimbursement Instructions?
Employees who have registered domestic partners and wish to receive reimbursement for health insurance premiums must file the Illinois State University Domestic Partner Health Insurance Premium Reimbursement Instructions.
How to fill out Illinois State University Domestic Partner Health Insurance Premium Reimbursement Instructions?
To fill out the instructions, employees must provide personal information, details about the domestic partner, the amount of premium paid, and any supporting documents as outlined in the instructions.
What is the purpose of Illinois State University Domestic Partner Health Insurance Premium Reimbursement Instructions?
The purpose of the instructions is to inform employees about the process and requirements for seeking reimbursement of health insurance premiums for their domestic partners, ensuring compliance with university policies.
What information must be reported on Illinois State University Domestic Partner Health Insurance Premium Reimbursement Instructions?
The information that must be reported includes the employee's name, contact information, details about the domestic partner, the insurance provider, and the amount of premium paid, along with any relevant documentation.
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