Get the free 2015-2016 SHBP Enrollment Form - Princeton Theolo - ptsem

Princeton Theological Seminary 2015 2016 Student Health Benefits Plan Enrollment Form Please Print: Students Last Name First Name MI Gender Date of Birth PTS ID # Degree Program Address City State

How to fill out 2015-2016 shbp enrollment form

How to fill out the 2015-2016 SHBP enrollment form:

1. Gather necessary information: Before starting to fill out the enrollment form, make sure to have all the required information handy. This may include personal details such as name, address, date of birth, social security number, and contact information.
2. Review the instructions: Take the time to read through the instructions provided with the enrollment form. This will help you understand the purpose of each section and ensure that you complete the form accurately.
3. Start with personal information: Begin by filling out the personal information section. Provide your full name, address, phone number, and other required contact details as requested on the form.
4. Provide dependent information: If you are enrolling dependents, there will likely be a separate section on the form to include their details. Fill in the necessary information for each dependent, including their full names, dates of birth, and relationship to you.
5. Select coverage options: The enrollment form will ask you to choose the specific coverage options you desire. This may include options for medical, dental, vision, and other benefits. Carefully review the options provided and select those that best meet your needs.
6. Indicate enrollment period: Depending on the form, you may need to indicate the specific enrollment period for which you are applying. This could be in the format of the academic year (e.g., 2015-2016) or any other designated time frame.
7. Provide insurance information: If you currently have insurance coverage, there may be a section on the form where you need to provide information about your existing insurance policy. This could include the name of the insurance company, policy number, and other relevant details.
8. Review and sign the form: After completing all the necessary sections, carefully review the entire form to ensure that all information is accurate and complete. Once satisfied, sign and date the form in the designated space.

Who needs the 2015-2016 SHBP enrollment form?

1. Employees: Any employee who is eligible for benefits through the 2015-2016 SHBP program will need to complete the enrollment form. This includes both full-time and part-time employees who meet the eligibility criteria.
2. Dependents: If an employee wishes to enroll their dependents for coverage, they will need to complete the enrollment form on behalf of their dependents. This ensures that the dependents receive the necessary benefits under the SHBP program.
3. New hires: Employees who are newly hired or have recently become eligible for SHBP benefits will typically need to complete the enrollment form. This allows them to select their coverage options and enroll themselves and their eligible dependents.
4. Current participants: Even if an individual is already enrolled in the SHBP program, they may still need to complete the enrollment form each year during the open enrollment period. This allows them to review their coverage options and make any necessary changes.

Remember, the specific requirements for who needs to complete the 2015-2016 SHBP enrollment form may vary depending on the organization or entity administering the program. It is essential to follow any guidelines or instructions provided by your employer or the SHBP program administrators.

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What is shbp enrollment form?

The shbp enrollment form is a form used to enroll in the State Health Benefit Plan.

Who is required to file shbp enrollment form?

All eligible individuals who wish to enroll in the State Health Benefit Plan are required to file the shbp enrollment form.

How to fill out shbp enrollment form?

The shbp enrollment form can be filled out online or submitted through the mail with the required information and signatures.

What is the purpose of shbp enrollment form?

The purpose of the shbp enrollment form is to officially enroll individuals in the State Health Benefit Plan.

What information must be reported on shbp enrollment form?

The shbp enrollment form requires personal information, employment details, and health insurance preferences to be reported.