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This form is intended for public education employees to enroll in new health insurance coverages under the Public Education Employees’ Health Insurance Plan (PEEHIP). It includes sections for subscriber
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How to fill out peehip enrollment application
How to fill out PEEHIP Enrollment Application
01
Obtain the PEEHIP Enrollment Application form from the official PEEHIP website or your employer's HR department.
02
Fill out the personal information section, including your name, address, and contact details.
03
Provide your Social Security number and employee identification number if applicable.
04
Select the type of coverage you wish to enroll in (individual or family coverage).
05
Complete the dependent information section if enrolling family members.
06
Fill out any additional sections as required, such as beneficiaries or additional plan options.
07
Review the application for accuracy and completeness.
08
Sign and date the application where indicated.
09
Submit the application to your HR department or through the designated submission method.
Who needs PEEHIP Enrollment Application?
01
Current employees of Alabama public schools and colleges who wish to enroll in PEEHIP health insurance.
02
Retired employees who are eligible for PEEHIP benefits.
03
Dependents of eligible employees or retirees who require health insurance coverage.
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What is the Cobra law in Alabama?
Alabama Mini-COBRA Law Explained If you lose your job or go through other life changes like a divorce or loss of dependent status, this law allows you and your dependents to maintain your health insurance for up to 18 months.
What does workers' comp cover in Alabama?
Workers' Compensation Insurance Alabama Coverage. Alabama workers' compensation plans provide benefits to employees if they suffer a work-related injury or illness. Workers' comp plans can also provide disability benefits if an employee becomes disabled from an injury or illness caused by their job.
What is Alabama State Employee health Benefit Plan?
The State Employees' Health Insurance Plan (SEHIP) is basic hospital medical coverage administered by BlueCross BlueShield of Alabama (BCBS) with prescription benefits administered by Prime Therapeutics. This plan is offered to state employees who do not have other health insurance coverage available to them.
What does peehip cover in Alabama?
PEEHIP offers the Cancer, Dental, Hospital Indemnity, and Vision plans. Claims administration is provided through Southland Benefit Solutions.
How to contact Peehip Alabama?
In order to protect your personal health information, please click here to login to Member Online Services (MOS) to contact us. You may also contact us by phone at 877.517. 0020 or 334.517. 7000.
How much do state of Alabama employees pay for health insurance?
Employees hired on or after January 1, 2013, receive Tier 2 benefits. ADPH pays $977/month ($11,724/year). Employee cost for single coverage is $30 with a Non-tobacco Usage Discount and a Wellness Discount. Family coverage is $500 (with spouse) and $335 (without spouse).
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What is PEEHIP Enrollment Application?
The PEEHIP Enrollment Application is a form used by the Public Education Employee Health Insurance Plan (PEEHIP) to enroll individuals in health insurance coverage provided for public education employees in Alabama.
Who is required to file PEEHIP Enrollment Application?
Individuals who are eligible for PEEHIP coverage, including new employees, employees who are changing their coverage, or those who are adding dependents, are required to file the PEEHIP Enrollment Application.
How to fill out PEEHIP Enrollment Application?
To fill out the PEEHIP Enrollment Application, beneficiaries must provide personal information, select the desired coverage options, and include any required supporting documentation, ensuring all fields are completed accurately before submission.
What is the purpose of PEEHIP Enrollment Application?
The purpose of the PEEHIP Enrollment Application is to formally request enrollment in the health insurance plan, allowing eligible individuals to access health benefits and coverage provided by PEEHIP.
What information must be reported on PEEHIP Enrollment Application?
The information that must be reported on the PEEHIP Enrollment Application includes the applicant's personal details (such as name, social security number, and date of birth), employment information, and details about any dependents to be covered under the plan.
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