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SAN ANTONIO WATER SYSTEM 2024 Spouse Premium Surcharge Waiver Form The 2024 Spouse Premium Surcharge is a $150 monthly surcharge ($75.00 per pay period) that is required above and beyond the regular
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How to fill out 2024 spouse premium surcharge

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How to fill out 2024 spouse premium surcharge

01
Obtain the 2024 spouse premium surcharge form from your insurance provider or employer.
02
Fill out all personal information requested for both you and your spouse, such as names, dates of birth, and social security numbers.
03
Provide any required documentation, such as proof of marriage or dependent status.
04
Review the form for accuracy and completeness before submitting it to the appropriate department or individual.
05
Await confirmation of the surcharge being applied to your insurance premium.

Who needs 2024 spouse premium surcharge?

01
Individuals who are married and choose to include their spouse on their insurance plan for the year 2024.
02
Spouses who are eligible for coverage under their partner's insurance plan and are required to pay a premium surcharge.
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The spouse premium surcharge waiver is a provision that allows eligible individuals to waive additional premium surcharges that might otherwise apply to their health insurance when they cover their spouses.
Individuals who have a spouse enrolled in a health insurance plan and who are seeking to waive the premium surcharge must file the spouse premium surcharge waiver.
To fill out the spouse premium surcharge waiver, individuals must complete the designated form provided by their health insurance provider, ensuring that all required information about their spouse and the insurance plan is accurately recorded.
The purpose of the spouse premium surcharge waiver is to eliminate or reduce the additional costs associated with insuring a spouse, thereby making health coverage more affordable for families.
The information that must be reported includes the names of the individuals involved, the details of the health insurance plan, and any supporting documentation required by the insurer.
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