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Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services VIVA HEALTH: PEEHIPCoverage Period: 10/01/2019 09/30/2020 Coverage for: Subscriber and Family Plan Type:
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How to fill out viva health peehip

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How to fill out viva health peehip

01
To fill out Viva Health PEHIP, follow these steps:
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Gather all necessary information such as your personal details, social security number, and member identification number.
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Visit the official Viva Health PEHIP website or contact their customer service for the fillable form.
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Read the instructions carefully and provide accurate information in each section of the form.
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Start with the personal details section, including your name, address, contact information, and date of birth.
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Move on to the insurance information section, where you will need to provide your member identification number and other relevant details.
07
Fill out the sections regarding your dependents, if applicable. This includes providing their names, dates of birth, and relationship to you.
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Make sure to review the completed form for any mistakes or missing information. Double-check all the details before submitting.
09
Submit the filled out Viva Health PEHIP form through the preferred method mentioned in the instructions. This could be online submission or mailing it to the designated address.
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Keep a copy of the filled out form and any relevant documents for your records.
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Remember to consult the official Viva Health PEHIP website or contact their customer service if you have any specific questions or need additional guidance.

Who needs viva health peehip?

01
Viva Health PEHIP is designed for individuals in the state of Alabama who are eligible for Public Education Employees' Health Insurance Program (PEHIP).
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Specifically, the following individuals may need Viva Health PEHIP:
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- Active employees of the Alabama Public Education System
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- Retired employees of the Alabama Public Education System
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- Dependents of active and retired employees
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- Spouses of active and retired employees
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- Surviving dependents of deceased employees
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It is important to note that eligibility requirements may vary, and it is recommended to check with the official PEHIP website or contact their customer service for the most accurate and up-to-date information.
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Viva Health PEHIP is a health insurance program offered by Viva Health for eligible members, providing healthcare coverage and benefits.
Employees and employers who participate in the Viva Health PEHIP program are required to file the necessary documentation to maintain their coverage.
To fill out Viva Health PEHIP, individuals should obtain the appropriate forms from the Viva Health website or their HR department, provide accurate personal and employment information, and submit the forms as instructed.
The purpose of Viva Health PEHIP is to provide affordable health insurance options to members, ensuring access to a broad range of healthcare services.
The information that must be reported includes personal identification details, employment information, and specific health coverage requested.
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