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State of Washington PEBB Customer Number 164995 CANCELLATION OF RETIREE LIFE INSURANCE THROUGH METLIFE Use this form to notify MetLife that you wish to cancel your Retiree Life Insurance. I understand that knowingly providing false incomplete or misleading information to an insurance company for the purpose of defrauding the company is a crime and can result in imprisonment fines and denial of PEBB benefits. Subscriber signature Date This form must be signed and dated. After completion make a...

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Step 1: Access the official website of State of Washington PEBB

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Who needs state of washingtonpebb?

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Employees working for the State of Washington

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Retirees of the State of Washington

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Dependents of employees and retirees of the State of Washington

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Individuals eligible for the State of Washington PEBB healthcare benefits

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What is state of washingtonpebb?

Washington State Public Employees Benefits Board (PEBB) is a program that provides comprehensive benefits to eligible state employees.

Who is required to file state of washingtonpebb?

All eligible state employees are required to enroll in the Washington State PEBB program.

How to fill out state of washingtonpebb?

To enroll in the PEBB program, state employees must complete the necessary forms and provide the required information to the PEBB program administrators.

What is the purpose of state of washingtonpebb?

The purpose of the Washington State PEBB program is to provide eligible state employees with access to comprehensive benefits, including health insurance, dental and vision coverage, and other benefits.

What information must be reported on state of washingtonpebb?

State employees must report their personal information, dependents, coverage options, and any other relevant information required by the PEBB program.

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