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Princeton Theological Seminary 20162017 Health Insurance Waiver Form Student Health Benefits Plan (SHIP) Please Print: Students Last Name Date of Birth Students First Name MI PTS ID# Gender Degree
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How to fill out 2016-2017 shbp waiver form
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01
Read the instructions provided with the form thoroughly.
02
Gather all the required information and documents before starting.
03
Start by entering your personal information, such as name, address, and contact details, in the designated fields.
04
Provide accurate information about your current health insurance coverage.
05
If you have any dependents, make sure to include their details as well.
06
Carefully review each section of the form before moving on to the next.
07
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Submit the completed form as instructed, either by mail or online.
Who needs 2016-2017 shbp waiver form?
01
Employees who have other health insurance coverage and wish to waive the SHBP (State Health Benefits Program) for the 2016-2017 period.
02
Employees who have dependents covered under another health insurance plan and do not require SHBP coverage for them.
03
Individuals who qualify for exemptions or special circumstances as specified by the SHBP guidelines.
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What is shbp waiver form?
The SHBP waiver form is a document that allows eligible employees to opt out of the State Health Benefit Plan (SHBP) and choose alternative health insurance coverage.
Who is required to file shbp waiver form?
Employees who have alternative health insurance coverage that meets the SHBP requirements are required to file the waiver form.
How to fill out shbp waiver form?
Employees can fill out the SHBP waiver form by providing their personal information, details of their alternative health insurance coverage, and signing the form.
What is the purpose of shbp waiver form?
The purpose of the SHBP waiver form is to verify that employees have alternative health insurance coverage that meets the SHBP requirements.
What information must be reported on shbp waiver form?
The SHBP waiver form requires employees to provide information such as their name, address, alternative health insurance plan details, and signature.
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