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OFFICE OF GROUP BENEFITS2020 ANNUAL ENROLLMENT FORM
Nonmedical Retirees and Rehired Retirees
(Please PRINT Clearly)
Plan Members Name:
Address:
City, State, ZIP:
SSN:Phone: ()NO ACTION IS NECESSARY
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How to fill out 2021 pebb retiree open
How to fill out 2021 pebb retiree open
01
To fill out the 2021 PEBB Retiree Open, follow these steps:
02
Visit the official PEBB website.
03
Login to your account using your registered username and password.
04
Navigate to the 'Open Enrollment' section on the website.
05
Select the 'Retiree Open Enrollment' option.
06
Carefully read through the information and available plans.
07
Choose the desired plan that suits your needs.
08
Make any necessary changes or updates to your personal information.
09
Review your selections and ensure all information is accurate.
10
Submit your enrollment form.
11
Keep a record of your submission confirmation for future reference.
Who needs 2021 pebb retiree open?
01
Anyone who is a retiree eligible for the PEBB retiree benefits and wishes to make changes or enroll in new plans for the year 2021 needs to complete the PEBB Retiree Open enrollment.
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What is pebb retiree open enrollment?
PEBB retiree open enrollment is a designated period during which retired public employees can enroll in or make changes to their health insurance plans offered through the Public Employees Benefits Board (PEBB).
Who is required to file pebb retiree open enrollment?
Retired public employees who wish to enroll in or change their health insurance coverage under the PEBB program are required to file for open enrollment.
How to fill out pebb retiree open enrollment?
To fill out the PEBB retiree open enrollment, retirees need to complete the official enrollment form, provide necessary personal information, and indicate the health plans they wish to enroll in or change.
What is the purpose of pebb retiree open enrollment?
The purpose of PEBB retiree open enrollment is to allow retirees to review, enroll in, or make changes to their health insurance coverage, ensuring they have the appropriate benefits as their needs change.
What information must be reported on pebb retiree open enrollment?
The information that must be reported includes personal identification details, current health plan information, selected new health plans, and any changes to dependents.
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