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DEPARTMENT OF FINANCE CHICAGO BENEFITS OFFICE UNWASHED RETIREE HEALTHCARE PREMIUM REFUNDS (FOR RETIREE, RETIREES REPRESENTATIVE OR ESTATE)Information about Individual Seeking Refund First Name:Middle
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To fill out uncashed retiree healthcare premium, follow these steps:
02
Obtain the necessary forms from your employer or insurance provider.
03
Provide your personal information, including your full name, address, and contact details.
04
Provide information about your retiree healthcare premium, such as the amount and the reasons why it remains uncashed.
05
Attach any supporting documentation, such as proof of retirement or related financial statements.
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Review the completed form for accuracy and make any necessary corrections.
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Submit the filled-out form to the appropriate department or address specified by your employer or insurance provider.
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Keep a copy of the filled-out form for your records.

Who needs uncashed retiree healthcare premium?

01
Uncashed retiree healthcare premium would typically be needed by retirees who have not yet claimed or used their healthcare premium benefits.
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This could be due to various reasons, such as not needing immediate healthcare services, having alternative health insurance coverage, or simply forgetting to cash the premium checks.
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Retirees who no longer require the benefits or have opted for a different healthcare plan may not need to fill out uncashed retiree healthcare premium.
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Uncashed retiree healthcare premium refers to the amount of money that has been deducted from a retiree's pension or benefits for healthcare coverage, but has not been claimed or cashed by the retiree.
Retirees who have had money deducted for healthcare premiums but have not received or claimed those funds are required to file uncashed retiree healthcare premium.
Uncashed retiree healthcare premium can be filled out by providing details about the amount deducted, the reason for non-claiming, and the contact information for the retiree.
The purpose of uncashed retiree healthcare premium is to ensure that retirees receive the money deducted for healthcare premiums and to maintain accurate records of unclaimed funds.
Information such as the amount deducted, the date of deduction, the retiree's name and contact details, and the reason for non-claiming must be reported on uncashed retiree healthcare premium.
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