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Get the free PEEHIP Change (09/08) - jsu

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Este formulario se utiliza para realizar cambios en sus coberturas de seguro existentes y para certificar o cambiar su estado de tabaco. Se puede completar y enviar por correo o realizar cambios en
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How to fill out peehip change 0908

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How to fill out PEEHIP Change (09/08)

01
Obtain the PEEHIP Change (09/08) form from the PEEHIP website or your HR department.
02
Fill in your personal information at the top of the form, including your name, address, and employee ID.
03
Select the type of change you are requesting (e.g., adding a dependent, changing coverage).
04
Provide necessary details regarding the change, such as the dependent's information if adding one.
05
Review the form for any required signatures or additional documentation that may be necessary.
06
Submit the completed form to your HR department or the designated PEEHIP office before the deadline.

Who needs PEEHIP Change (09/08)?

01
Employees enrolled in PEEHIP who wish to make changes to their health insurance coverage.
02
Dependents of employees who are being added to or removed from the PEEHIP plan.
03
Anyone who experiences a qualifying event, such as marriage, divorce, or a change in dependent status.
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PEEHIP Change (09/08) refers to the process for updating an individual's health insurance coverage under the Teachers' Retirement System of Alabama, specifically for changes that may affect their health insurance benefits.
All active employees and retirees of Alabama's public K-12 education system who experience a qualifying life event, such as marriage, divorce, or the birth of a child, are required to file PEEHIP Change (09/08).
To fill out the PEEHIP Change (09/08), individuals must complete the designated form, providing necessary personal information, details regarding the change in status, and any relevant documentation to support the request.
The purpose of PEEHIP Change (09/08) is to ensure that all changes in an individual's eligibility or coverage under the PEEHIP plan are accurately recorded and that the insurance benefits reflect the current life circumstances of the member.
Information that must be reported on PEEHIP Change (09/08) includes personal identification details, the nature of the change (e.g., marriage, divorce), effective date of the change, and any pertinent documentation supporting the change.
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