Get the free SHBP ACTIVE MEMBER - State Health Benefit Plan
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OPEN ENROLLMENT GIDEON ENROLLMENT October 1November 12, 2020MEDICARE2021PERACare Plan Contact Information/Resources Anthem Blue Cross and Blue Shield Group #COEGR000 Enrollment: 18332443887 Post Enrollment:
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How to fill out shbp active member
How to fill out shbp active member
01
Start by obtaining the SHBP Active Member form from the designated source, such as the SHBP website or your employer.
02
Fill out your personal information accurately, including your full name, date of birth, and Social Security number.
03
Provide your current contact information, such as your address, phone number, and email address.
04
Indicate your employment status and provide details about your employer, including the name, address, and contact information.
05
Specify your preferred coverage options, such as medical, dental, and vision plans, by selecting the appropriate checkboxes or filling out the required fields.
06
If applicable, provide information about your dependents who will also be covered under the SHBP Active Member plan.
07
Carefully review the completed form to ensure all information is accurate and legible.
08
Sign and date the form to certify the accuracy of the provided information.
09
Submit the filled-out form as instructed, either by mailing it to the designated address or submitting it electronically through the SHBP website.
Who needs shbp active member?
01
SHBP Active Member is typically needed by individuals who are employed by an organization that offers the State Health Benefits Program (SHBP).
02
It is specifically required for those employees who wish to enroll in the SHBP healthcare coverage and related benefits.
03
This includes current employees, new hires, and eligible dependents of the employees.
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What is shbp active member?
SHBP active member refers to a participant in the State Health Benefit Plan.
Who is required to file shbp active member?
Employers are required to file SHBP active member information for their employees.
How to fill out shbp active member?
Employers can fill out SHBP active member information through the designated online portal provided by the State Health Benefit Plan.
What is the purpose of shbp active member?
The purpose of SHBP active member reporting is to maintain accurate records of participants in the State Health Benefit Plan.
What information must be reported on shbp active member?
Employers must report basic personal information of their employees such as name, address, and employment status.
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