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HA08900717 Pensions & BenefitsSEHBP EDUCATION ACTIVE EMPLOYEE GROUP HEALTH BENEFITS ENROLLMENT and/or CHANGE FORMDivision of Pensions & Benefits P.O. Box 299 Trenton, NJ 086250299DIVISION USE ONLY1.
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To fill out the SEHBP Education Active Employee form, follow these steps:
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Start by opening the form in your preferred document editor or web browser.
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Read through the instructions provided at the beginning of the form to understand the requirements and guidelines for completion.
04
Provide your personal information accurately, including your full name, address, contact details, and employee identification number.
05
In the designated sections, provide information about your current education status, such as your degree program, educational institution, and expected graduation date.
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If applicable, provide information about any previous education benefits or reimbursements received through the SEHBP program.
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Review the completed form to ensure all information is accurate and legible.
08
Sign and date the form to certify that the provided information is true and complete.
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Submit the filled-out form as per the instructions provided, either by mail, fax, or electronically through the designated portal.
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Keep a copy of the completed form and any supporting documents for your records.
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If required, follow up with the SEHBP office to confirm receipt and processing of your application.

Who needs sehbp education active employee?

01
SEHBP Education Active Employee form is needed by the active employees who are seeking education benefits through the SEHBP program. This form is applicable to individuals who are currently employed and wish to pursue further education while availing the educational benefits provided by the SEHBP. It is essential for these employees to accurately fill out this form to apply for education-related assistance, reimbursements, or other benefits offered by the SEHBP.
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SEHBP Education Active Employee refers to an active employee enrolled in the School Employees' Health Benefits Program (SEHBP) who is also in an educational institution.
Employers participating in the SEHBP are required to file information about their education active employees.
SEHBP education active employee information can be filled out online through the SEHBP portal or through paper forms provided by the SEHBP office.
The purpose of reporting SEHBP education active employee information is to ensure accurate records and eligibility for benefits within the program.
Information such as employee name, ID number, educational institution, coverage level, and enrollment status must be reported on SEHBP education active employee.
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