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PLAN YEAR2025 HEALTH BENEFITS ENROLLMENT GUIDE RETIREE & DIRECT BILLKansas Sunset Photo Credit: Kansas TourismSEHPDirectBill@ks.gov | 8665417100 | Page 1Laura Kelly, GovernorMessage from Governor
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How to fill out retiree direct bill

How to fill out retiree direct bill
01
Obtain the retiree direct bill form from your employer's HR department or website.
02
Fill in your personal information including name, address, and contact details.
03
Provide your retiree identification number or employee number as required.
04
Specify the billing period for which you are requesting the bill.
05
Indicate the type of coverage you wish to maintain (e.g., health, dental, vision).
06
Review the form for accuracy and completeness.
07
Submit the completed form according to the instructions (via email, mail, or in-person).
08
Keep a copy of the submitted form for your records.
Who needs retiree direct bill?
01
Retirees who wish to maintain their health, dental, or vision insurance coverage after leaving their job.
02
Individuals receiving pension benefits that include options for continued insurance coverage.
03
Survivors of retirees who are eligible to continue insurance coverage.
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What is retiree direct bill?
Retiree direct bill is a billing method used to collect premiums directly from retirees for their health insurance coverage, rather than through their former employer.
Who is required to file retiree direct bill?
Retirees who wish to continue their health insurance coverage after leaving their employment typically are required to file a retiree direct bill.
How to fill out retiree direct bill?
To fill out a retiree direct bill, retirees need to provide their personal information, policy details, and payment information as required by the insurance provider's forms.
What is the purpose of retiree direct bill?
The purpose of retiree direct bill is to ensure that retirees can continue their health insurance coverage by managing the payment of their premiums directly.
What information must be reported on retiree direct bill?
The retiree direct bill must report personal identification information, policy number, coverage details, payment amount, and payment due date.
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