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Type of change(s) requested:Name/Address Change FormForm 1239 Page 1 Revised 5/14/2018S.C. Public Employee Benefit Authority 202 Arbor Lake Drive Columbia, SC 29223NameMembership type: (check all
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How to fill out peba insurance

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How to fill out peba insurance

01
Obtain the necessary forms from the PEBA insurance provider.
02
Fill out personal information such as name, address, and contact details.
03
Provide information on any dependents that you wish to include in the insurance coverage.
04
Specify the type of insurance coverage you are applying for (health, dental, vision, etc.).
05
Complete any required health history or medical information sections.
06
Review the completed form for accuracy and submit it to the PEBA insurance provider.

Who needs peba insurance?

01
Anyone who wishes to have insurance coverage through the PEBA insurance provider.
02
Employees of organizations that offer PEBA insurance benefits.
03
Dependents of employees who are eligible for coverage under the employee's PEBA insurance plan.
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PEBA insurance refers to the insurance programs managed by the Public Employee Benefit Authority, which provides health, dental, and other benefits to eligible employees and their dependents.
Employers who offer PEBA insurance benefits to their employees are required to file PEBA insurance.
To fill out PEBA insurance, employers must complete the necessary forms provided by the Public Employee Benefit Authority and submit required employee information accurately.
The purpose of PEBA insurance is to provide health insurance and other benefits to public employees and their families, ensuring access to necessary healthcare services.
Information that must be reported includes employee names, Social Security numbers, coverage types, and any additional relevant information required by the PEBA.
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