Get the free WA State PEBB Agency Transfer Form
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WA State WEBB Agency Transfer Formic you enroll in the Medical Flexible Spending Arrangement (FSA) Limited Purpose FSA, or Dependent Care Assistance Program (CAP), then later change jobs to work at
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How to fill out wa state pebb agency
How to fill out wa state pebb agency
01
Go to the Washington State Health Care Authority website.
02
Click on the PEBB program tab.
03
Select the option to enroll or make changes to your benefits.
04
Fill out the required information such as personal details, dependent information, and benefit selections.
05
Review the information provided and submit the form.
06
Make sure to keep a copy of the confirmation for your records.
Who needs wa state pebb agency?
01
Washington state employees who are eligible for benefits through the Public Employees Benefits Board (PEBB) program.
02
Retirees from state and higher education institutions who are enrolled in PEBB retiree coverage.
03
COBRA participants who are continuing their PEBB benefits after leaving their employer.
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What is wa state pebb agency?
The Washington State Public Employees Benefits Board (PEBB) Agency provides health and insurance benefits for eligible employees.
Who is required to file wa state pebb agency?
All eligible employees in Washington State are required to file with the PEBB Agency.
How to fill out wa state pebb agency?
Employees can fill out the PEBB Agency forms online or through their employer.
What is the purpose of wa state pebb agency?
The purpose of the PEBB Agency is to provide health and insurance benefits to eligible employees.
What information must be reported on wa state pebb agency?
Employees must report their personal information, dependents, and chosen benefits on the PEBB Agency forms.
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