Get the free 2013 PEBTF Open Enrollment Form for REHP Members - pebtf

2013 PE BTF Open Enrollment Form for REP Members This form should be completed ONLY if you are changing Health Benefit Options and you are not Medicare eligible. All other changes must be reported

How to fill out 2013 pebtf open enrollment

How to fill out 2013 PEBTF open enrollment:

1. Gather necessary information: Before filling out the enrollment form, make sure to have important details such as your personal information, including name, address, and contact information, as well as any dependent information if applicable.
2. Review available plans: Take the time to carefully review the available health plans offered through the 2013 PEBTF open enrollment. Look into the coverage options, benefits, costs, and any changes from previous years to determine which plan best fits your needs.
3. Understand enrollment deadlines: Familiarize yourself with the deadlines for submitting your enrollment form. It is important to submit your form within the designated timeframe to avoid any potential coverage gaps.
4. Complete the enrollment form accurately: Fill out the enrollment form with the required information. Ensure that all details are accurate and up-to-date, especially when providing dependent information. Double-check for any errors or missing information before submitting.
5. Consider additional coverage options: Alongside the health plans, the 2013 PEBTF open enrollment might offer additional coverage options, such as dental or vision plans. Evaluate if you require any supplementary coverage and make appropriate selections on the enrollment form.
6. Seek assistance if needed: If you have any questions or need assistance while filling out the enrollment form, reach out to the PEBTF customer service representatives. They can provide guidance and address any concerns you may have.

Who needs 2013 PEBTF open enrollment?

1. Employees of organizations affiliated with the Pennsylvania Employees Benefit Trust Fund (PEBTF): If you are currently employed by an organization that is part of the PEBTF, you will likely need to complete the 2013 PEBTF open enrollment. This enrollment period allows employees to review and select their health plan coverage for the upcoming year.
2. Dependents of eligible employees: If you are a dependent of an eligible employee, such as a spouse or child, and you are currently covered under the PEBTF health plans, you may also need to participate in the 2013 open enrollment. This ensures that your coverage remains active, and provides an opportunity to make any necessary changes.
3. Individuals seeking coverage through the PEBTF: If you are currently not enrolled in any PEBTF health plan but are eligible to do so, the 2013 open enrollment presents an opportunity to enroll and select a plan for the upcoming year. This is particularly relevant for new employees or individuals experiencing a qualifying life event that allows them to join the PEBTF.

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What is pebtf open enrollment form?

The PEBTF Open Enrollment form is a document that allows members of the Pennsylvania Employees Benefit Trust Fund (PEBTF) to make changes to their healthcare coverage during the open enrollment period.

Who is required to file pebtf open enrollment form?

All members of the Pennsylvania Employees Benefit Trust Fund (PEBTF) are required to file the Open Enrollment form if they want to make changes to their healthcare coverage.

How to fill out pebtf open enrollment form?

To fill out the PEBTF Open Enrollment form, members should carefully review the instructions provided on the form and provide accurate and up-to-date information about their desired changes to healthcare coverage.

What is the purpose of pebtf open enrollment form?

The purpose of the PEBTF Open Enrollment form is to allow members to make changes to their healthcare coverage, such as adding or removing dependents, changing plans, or updating personal information.

What information must be reported on pebtf open enrollment form?

The PEBTF Open Enrollment form may require members to report information such as their personal details, dependent information, desired changes to coverage, and any supporting documentation.