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This form is to be used to enroll in new coverages under the Public Education Employees’ Health Insurance Plan. It contains sections for subscriber and dependent information, coverage selection,
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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
Read the instructions carefully to understand the sections required for completion.
03
Fill out your personal information, including your name, address, phone number, and social security number.
04
Provide details about your employment, including your employer's name and address, your job title, and employee ID if applicable.
05
Select the appropriate coverage options that fit your needs, such as health, dental, and vision insurance plans.
06
List any dependents you wish to include on your plan, including their names, relationships, and social security numbers.
07
Review your application for accuracy and completeness before signing it.
08
Submit the application by the specified deadline, either electronically or by mailing it to the appropriate PEEHIP office.
Who needs PEEHIP Enrollment Application?
01
Employees of Alabama state educational entities who are eligible for health insurance benefits.
02
New employees who wish to enroll in health insurance plans offered by PEEHIP.
03
Current members who are adding or removing dependents from their coverage.
04
Individuals who are changing their health insurance plan during open enrollment periods.
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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 to enroll eligible participants in the Public Education Employees' Health Insurance Plan (PEEHIP), providing access to health insurance benefits.
Who is required to file PEEHIP Enrollment Application?
Employees of Alabama public schools and state agencies who wish to enroll in PEEHIP for health insurance coverage are required to file the application.
How to fill out PEEHIP Enrollment Application?
To fill out the PEEHIP Enrollment Application, individuals must provide personal and employment information, select their desired coverage options, and submit the form to the appropriate human resources department.
What is the purpose of PEEHIP Enrollment Application?
The purpose of the PEEHIP Enrollment Application is to officially register individuals in the health insurance plan and ensure they receive the appropriate benefits based on their eligibility.
What information must be reported on PEEHIP Enrollment Application?
The application must report personal information such as name, address, Social Security number, employment details, and the desired health coverage options.
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