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GMES Life & Health Enrollment Processing PO Box 105377 Atlanta, Georgia 30348 MAIL TO: PLEASE USE BLACK INK Retiree Enrollment Form Employer Name: Date of Retirement: Effective Date: Health and RX
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Open the GMEBS Life & Health form.
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Read the instructions provided on the form carefully.
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Fill in your personal information such as name, address, and contact details in the designated sections.
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Provide your date of birth, gender, and social security number, if applicable.
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GMEBS Life and Health refers to the form that must be filed with the Georgia Municipal Employees Benefit System to provide information about life and health insurance coverage.
Employers who provide life and health insurance coverage to employees through the Georgia Municipal Employees Benefit System are required to file GMEBS Life and Health.
To fill out GMEBS Life and Health, employers must provide information about the insurance coverage offered to employees, including the type of coverage, number of employees covered, and premium amounts.
The purpose of GMEBS Life and Health is to ensure that employers are providing adequate life and health insurance coverage to their employees through the Georgia Municipal Employees Benefit System.
Employers must report information about the type of life and health insurance coverage offered, the number of employees covered, and the premium amounts paid.
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