Get the free PORAC RMT Enrollment Application - SIMON

PO RAC RETIREE MEDICAL TRUST MEDICAL EXPENSE REIMBURSEMENT PLAN Administered by Benefit Solutions, Inc. PO Box 6 Mutilated, WA 98275 P: 8778085994 F: 8666761530 E: PO RAC SIRPA.enrollment Application

How to fill out porac rmt enrollment application

How to fill out porac rmt enrollment application

1. To fill out the PORAC RMT Enrollment Application, follow these steps:
2. Download the application form from the PORAC website.
3. Provide your personal information, including name, address, and contact details.
4. Fill in your employment information, such as your job title, department, and employer.
5. Indicate whether you are a PORAC member or eligible dependents of a PORAC member.
6. Provide the necessary medical information, such as current health status and any pre-existing conditions.
7. Attach all required supporting documents, such as proof of eligibility and medical records.
8. Review your application thoroughly to ensure all information is accurate and complete.
9. Sign and date the application form.
10. Submit the completed application along with any required fees or additional documents to the designated PORAC RMT office.
11. Await confirmation of enrollment from PORAC RMT.

Who needs porac rmt enrollment application?

1. The PORAC RMT Enrollment Application is needed by individuals who wish to enroll in the PORAC RMT (Retirement Medical Trust) program.
2. This application is specifically for PORAC members or eligible dependents of PORAC members who want to access the benefits offered by the PORAC RMT program.

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What is porac rmt enrollment application?

The PORAC RMT enrollment application is a form that allows members to enroll in the PORAC Retiree Medical Trust for healthcare benefits.

Who is required to file porac rmt enrollment application?

Active and retired law enforcement officers who are members of PORAC are required to file the PORAC RMT enrollment application.

How to fill out porac rmt enrollment application?

To fill out the PORAC RMT enrollment application, members must provide their personal information, contact details, medical history, and beneficiary information.

What is the purpose of porac rmt enrollment application?

The purpose of the PORAC RMT enrollment application is to gather information from members who wish to enroll in the PORAC Retiree Medical Trust for healthcare benefits.

What information must be reported on porac rmt enrollment application?

Members must report their personal information, contact details, medical history, and beneficiary information on the PORAC RMT enrollment application.