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Name: Fillable Online Pebb Continuation Coverage Edition | October 2024 Fax Email Print - pdfFiller
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This document provides information regarding the PEBB Program\'s open enrollment period for 2025 benefits, including details on medical, vision, and dental coverage options, premium rates, and important changes affecting members.

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How to fill out pebb continuation coverage edition

01

Gather necessary personal information including your full name, address, and Social Security number.

02

Locate your PEBA certificate or card that contains your coverage information.

03

Review the instructions provided in the continuation coverage edition carefully.

04

Fill out the application form completely, ensuring all information is accurate.

05

Include any required supporting documentation, such as proof of prior coverage.

06

Review your application for completeness and accuracy before submission.

07

Submit your completed application form along with any necessary payments to the designated address.

Who needs pebb continuation coverage edition?

01

Individuals who have lost their health insurance coverage due to specific qualifying events.

02

Employees and their dependents who have been covered under PEBA and wish to continue their coverage.

03

Those who are transitioning from active employment to retirement or another form of qualifying status.

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What is pebb continuation coverage edition?

PEBB Continuation Coverage Edition refers to a specific program that allows eligible participants to continue their health insurance coverage after certain qualifying events, such as job loss or reduction in hours.

Who is required to file pebb continuation coverage edition?

Employers within the Public Employees Benefits Board (PEBB) system are required to file the PEBB Continuation Coverage Edition for eligible employees and their dependents.

How to fill out pebb continuation coverage edition?

To fill out the PEBB Continuation Coverage Edition, individuals must provide required personal information, details about their previous coverage, and documentation regarding the qualifying event that allows for continuation coverage.

What is the purpose of pebb continuation coverage edition?

The purpose of the PEBB Continuation Coverage Edition is to provide former employees and their eligible dependents the option to maintain their health insurance coverage for a specified duration after a qualifying event.

What information must be reported on pebb continuation coverage edition?

The information that must be reported includes participant identification details, the type of qualifying event, coverage options chosen, and the relevant dates pertaining to the coverage.

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