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USERS HEALTH OPTIONS PROGRAM APPLICATION Enrollment/Change/Termination Request HOP Administration Unit P Box 1764 Lancaster, PA 176081764. O. Phone: 18007737725 Fax: 18774114921 TTY Phone: 18004985428

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How to fill out psers health options program

01

Step 1: Obtain the PSERS Health Options Program enrollment form from the PSERS website or your employer.

02

Step 2: Read the instructions carefully to understand the enrollment process and requirements.

03

Step 3: Provide your personal information such as name, address, date of birth, and contact information in the designated fields.

04

Step 4: Select the health insurance plan option that best suits your needs from the available choices.

05

Step 5: Fill out the required sections regarding your current health insurance coverage and any dependents you wish to enroll.

06

Step 6: Review the completed form to ensure all information is accurate and complete.

07

Step 7: Sign and date the form.

08

Step 8: Submit the form through the specified method, such as mailing it to the PSERS office or submitting it online if applicable.

09

Step 9: Keep a copy of the filled-out form for your records.

Who needs psers health options program?

01

Employees who are members of the Pennsylvania School Employees' Retirement System (PSERS) may need the PSERS Health Options Program.

02

Retirees who receive pension benefits through PSERS may also be eligible for the program.

03

Dependents of eligible employees and retirees may also require the PSERS Health Options Program for their health insurance coverage.

04

Individuals who meet the eligibility criteria for PSERS and are seeking comprehensive health insurance options may benefit from the program.

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What is psers health options program?

The PSERS Health Options Program is a program that provides health insurance options to retired Pennsylvania school employees.

Who is required to file psers health options program?

Retired Pennsylvania school employees are required to file the PSERS Health Options Program.

How to fill out psers health options program?

You can fill out the PSERS Health Options Program online through the PSERS website or by contacting PSERS directly for assistance.

What is the purpose of psers health options program?

The purpose of the PSERS Health Options Program is to provide retired school employees with affordable health insurance options.

What information must be reported on psers health options program?

The PSERS Health Options Program requires information on the retired school employee's health insurance selections and preferences.

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