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2021 Employee Enrollment/Change Form PLEASE USE BLACK OR BLUE INK ONLY Mail Stop 100, PO Box 1121 Lewiston, ME 04243 Fax: (207) 4023745The information in this application must be submitted electronically,
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How to fill out wwwhcawagovabout-hcapublic-employeespublic employees benefits board
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Visit the website www.hca.wa.gov/about-hca/public-employees/public-employees-benefits-board.
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Locate the form titled 'Public Employees Benefits Board Form' on the webpage.
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Who needs wwwhcawagovabout-hcapublic-employeespublic employees benefits board?
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Anyone who is a public employee and wants to access the benefits provided by the Public Employees Benefits Board (PEBB) needs to contact the PEBB for more information. Public employees, including state, school district, local government, and higher education employees, as well as their eligible dependents, can benefit from the services and benefits offered by PEBB.
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What is www.hcawagov/about-hca/public-employees/public-employees-benefits-board?
The Public Employees Benefits Board (PEBB) is a program managed by the Washington Health Care Authority that provides health benefits to public employees, their dependents, and retirees in the state of Washington.
Who is required to file www.hcawagov/about-hca/public-employees/public-employees-benefits-board?
Public employers and employees participating in the PEBB program are required to file the necessary documentation and enrollment forms as part of their benefits administration.
How to fill out www.hcawagov/about-hca/public-employees/public-employees-benefits-board?
To fill out the forms, you typically need to provide personal information such as your name, address, employee ID, and information about your dependents, along with selecting your desired health plans.
What is the purpose of www.hcawagov/about-hca/public-employees/public-employees-benefits-board?
The purpose of the PEBB is to provide affordable and accessible health care benefits to eligible public employees, ensuring their well-being and financial protection.
What information must be reported on www.hcawagov/about-hca/public-employees/public-employees-benefits-board?
The information that must be reported includes employee identification details, health plan selections, dependent information, and any changes in eligibility or coverage.
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