Get the free PEBB Change in Status Form - des wa
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Employer: After reviewing the form, email it to election@naviabenefits.com, fax it to 4252336366, or mail it to Navia Benefit Solutions, PO Box 53250, Bellevue, WA 98015. For help, call 4254523488.WA
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How to fill out pebb change in status
How to fill out pebb change in status
01
To fill out the PEBB change in status form, follow these steps:
02
Obtain a copy of the PEBB change in status form.
03
Read the instructions on the form carefully to understand the eligibility criteria and required documentation.
04
Fill in your personal information, including name, address, and contact details.
05
Indicate the reason for the change in status, such as marriage, divorce, birth of a child, or loss of other insurance coverage.
06
Provide any necessary supporting documents, such as marriage certificates, divorce decrees, or birth certificates.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form.
09
Submit the form, along with any required supporting documents, to the appropriate PEBB office or online portal.
10
Keep a copy of the completed form for your records.
11
Follow up with the PEBB office to ensure your request has been processed successfully.
Who needs pebb change in status?
01
PEBB change in status is needed by individuals who experience a qualifying life event that affects their eligibility for PEBB benefits.
02
Examples of such individuals include:
03
- Employees who get married or divorced
04
- Employees who have a child or adopt a child
05
- Employees who lose their other insurance coverage
06
- Dependents who lose their other insurance coverage
07
- Dependents who become ineligible for PEBB coverage due to age limitations
08
- Dependents of deceased employees
09
It is important to consult the specific eligibility requirements and guidelines provided by the PEBB program to determine if you qualify for a change in status.
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What is pebb change in status?
PEBB change in status refers to any change in an employee's eligibility or coverage under the Public Employees Benefit Board (PEBB) program, often due to life events such as marriage, divorce, birth of a child, or loss of other health coverage.
Who is required to file pebb change in status?
Employees and eligible dependents who experience a qualifying life event that affects their health insurance coverage under the PEBB program are required to file a PEBB change in status.
How to fill out pebb change in status?
To fill out a PEBB change in status, individuals must complete the appropriate form, providing details of the qualifying event and any required documentation to support the change in eligibility or coverage.
What is the purpose of pebb change in status?
The purpose of a PEBB change in status is to ensure that individuals maintain accurate and updated health insurance coverage that reflects their current personal circumstances following a qualifying event.
What information must be reported on pebb change in status?
Information that must be reported on a PEBB change in status includes the specific life event, dates relevant to the event, the affected individuals, and any changes in coverage choices or dependent information.
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