Get the free 2008 PEBB-Sponsored Retiree Coverage Election Form - hca wa
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This form is used by retirees to elect coverage options for medical and dental benefits under the Public Employees Benefits Board (PEBB). It includes sections for subscriber and family member information,
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How to fill out 2008 pebb-sponsored retiree coverage
How to fill out 2008 PEBB-Sponsored Retiree Coverage Election Form
01
Download the 2008 PEBB-Sponsored Retiree Coverage Election Form from the official website.
02
Review the instructions provided in the form carefully.
03
Fill out your personal information, including your name, address, and contact details at the top of the form.
04
Indicate your retirement date and the type of coverage you are choosing.
05
Provide any additional required information regarding dependents, if applicable.
06
Sign and date the form to certify that the information is accurate.
07
Submit the completed form to the designated office as specified in the instructions.
Who needs 2008 PEBB-Sponsored Retiree Coverage Election Form?
01
Individuals who are retiring from a participating employer in the PEBB program and wish to enroll in retiree health coverage.
02
Employees who are eligible for PEBB-sponsored retiree benefits due to their length of service.
03
Dependents of retirees who are seeking to enroll in health coverage under the retiree policy.
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What is 2008 PEBB-Sponsored Retiree Coverage Election Form?
The 2008 PEBB-Sponsored Retiree Coverage Election Form is a document used by retirees to choose their health insurance coverage options under the Public Employees Benefits Board (PEBB) for the year 2008.
Who is required to file 2008 PEBB-Sponsored Retiree Coverage Election Form?
Retirees who wish to enroll in or make changes to their health insurance coverage provided through the PEBB program are required to file the 2008 PEBB-Sponsored Retiree Coverage Election Form.
How to fill out 2008 PEBB-Sponsored Retiree Coverage Election Form?
To fill out the form, retirees should provide personal information, select their desired coverage options, and ensure all required fields are completed accurately before submitting the form.
What is the purpose of 2008 PEBB-Sponsored Retiree Coverage Election Form?
The purpose of the form is to allow retirees to select their health insurance coverage and benefits under the PEBB program, ensuring they have the necessary healthcare protection after retirement.
What information must be reported on 2008 PEBB-Sponsored Retiree Coverage Election Form?
The form must report personal details of the retiree, such as name, address, and Social Security number, as well as choices regarding health plan selections and dependent coverage options.
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