Get the free CITY OF HOUSTON RETIREE/SURVIVOR Medical/Vision/Dental Form

CITY OF HOUSTON BENEFITS DIVISION, P. O. BOX 248, Houston, TX 770010248RETIREE/SURVIVOR Medical/Vision/Dental Form FOR BENEFITS DIVISION USE ONLYDepartment:Retirement Date:Medical Effective Date:Vision

How to fill out city of houston retireesurvivor

How to fill out city of houston retireesurvivor

1. To fill out the city of Houston retiree survivor form, follow these steps:
2. Obtain the retiree survivor form from the city of Houston website or the relevant department.
3. Read the instructions carefully to understand the requirements and necessary documentation.
4. Provide all the requested personal information, including your name, address, contact details, and social security number.
5. Fill in the details of the deceased retiree, including their name, employee ID, and retirement date.
6. Include any supporting documents, such as the retiree's death certificate or proof of relationship if required.
7. Double-check your entries for accuracy and completeness.
8. Sign and date the form.
9. Submit the completed form and any supporting documents to the specified address or online portal.
10. Keep a copy of the filled-out form for your records.
11. Follow up with the city of Houston or the relevant department if you have any questions or concerns about the retiree survivor benefits.

Who needs city of houston retireesurvivor?

1. Employees who were previously employed by the city of Houston and have retired may need to fill out the city of Houston retiree survivor form.
2. The form is typically required by the surviving spouse or eligible dependents of a deceased city of Houston retiree in order to claim survivor benefits.
3. Other beneficiaries or individuals directly involved in the retiree's estate may also need to complete the form, depending on the specific circumstances.
4. It is important to consult the city of Houston or the relevant department to determine if you are eligible for the retiree survivor benefits and if you need to fill out the form.

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What is city of houston retireesurvivor?

City of Houston Retiree Survivor Benefit Plan provides financial security to survivors of eligible retired employees.

Who is required to file city of houston retireesurvivor?

The survivors of eligible retired employees are required to file for City of Houston Retiree Survivor Benefit.

How to fill out city of houston retireesurvivor?

The City of Houston Retiree Survivor Benefit form can be filled out online or submitted by mail with all required information.

What is the purpose of city of houston retireesurvivor?

The purpose of City of Houston Retiree Survivor Benefit Plan is to provide financial support to the surviving spouses or dependents of retired employees.

What information must be reported on city of houston retireesurvivor?

The City of Houston Retiree Survivor Benefit form requires information such as personal details of the survivor, relationship to the retired employee, and documentation of the retiree's passing.