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Working Spouse Premium Election Form Return completed form to the HR Service Center: By email: AskHR@case.edu/By fax: 216.368.4678/In person: 320 Crawford Hall, LC 7047The Working Spouse Premium applies
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How to fill out working spouse premium election

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How to fill out working spouse premium election

01
To fill out the working spouse premium election form, follow these steps:
02
Obtain the working spouse premium election form from your employer or insurance provider.
03
Read the instructions carefully to understand the eligibility criteria and requirements.
04
Provide your personal information, including your name, employee ID, and contact details.
05
Specify your spouse's employment details, such as their employer's name and contact information.
06
Indicate whether your spouse is eligible for other health insurance coverage through their employer.
07
Choose the appropriate option to elect or decline the working spouse premium.
08
Review the completed form for any errors or missing information.
09
Sign and date the form to confirm your election.
10
Submit the form to your employer or insurance provider as instructed.
11
Keep a copy of the submitted form for your records.

Who needs working spouse premium election?

01
Working spouse premium election is typically needed by individuals who have health insurance coverage through their employer and have a working spouse.
02
The purpose of the election is to determine whether the employee wants to enroll their working spouse in their employer-sponsored health plan and pay an additional premium for that coverage.
03
It is usually necessary when the working spouse has access to health insurance through their own employer but opts to be covered under their spouse's plan instead.
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The working spouse premium election is a process that allows employees to elect to pay an additional fee for spousal health coverage if their spouse has access to health insurance through their own employer.
Employees who have a working spouse with access to health insurance coverage from their employer are required to file the working spouse premium election.
To fill out the working spouse premium election, you typically need to complete a form provided by your employer, which includes your personal information, your spouse's employer information, and select your coverage options.
The purpose of the working spouse premium election is to prevent double coverage and to ensure that employees with access to other health insurance options pay a premium for their spouse's coverage under the employee's plan.
Information that must be reported on the working spouse premium election typically includes employee details, spouse's employer information, current insurance situation, and the choice of health coverage.
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