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Princeton University, Office of Human Resources 2 New South, Princeton, NJ 08544 Princeton Health Care Plan Election Form for Retirees Under Age 65 Name (please print): Last First MI Social Security
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How to fill out the Princeton health care plan?

01
Gather all necessary personal information such as your full name, date of birth, address, and contact details.
02
Carefully read through the plan's terms and conditions to understand the coverage and any limitations.
03
Determine if you are eligible for the Princeton health care plan based on your employment status or affiliation with the university.
04
Contact the plan administrator or visit their website to obtain the application form.
05
Fill out the application form completely, providing accurate information and ensuring all required fields are addressed.
06
Attach any supporting documents required by the plan, such as proof of employment or enrollment.
07
Review the completed application form for any errors or missing information before submission.
08
If submitting the application physically, make copies for your records. If submitting online, make note of any confirmation numbers or receipts.
09
Submit the application as instructed, either by mailing it to the designated address or by submitting it electronically.
10
Follow up with the plan administrator to inquire about the status of your application if you have not received any communication within a reasonable time frame.

Who needs the Princeton health care plan?

01
Employees of Princeton University: The health care plan is usually available to full-time employees of the university, including faculty, staff, and administrators.
02
Dependents of Employees: Dependents such as spouses and children may also be eligible for coverage under the Princeton health care plan.
03
Retirees: Retired employees who meet certain criteria may be allowed to continue their health care coverage through the plan.
04
Students: Certain student groups, such as graduate students or international students, may have the option to enroll in the Princeton health care plan.
05
Non-Employees: In some cases, individuals who are not affiliated with Princeton University but meet specific eligibility requirements may be able to access the health care plan.
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Princeton health care plan is a comprehensive healthcare program offered to eligible individuals, including employees and their dependents, by Princeton University.
Employees of Princeton University who meet the eligibility criteria are required to enroll in the Princeton health care plan.
To fill out the Princeton health care plan, employees need to visit the online enrollment portal provided by the university. They will need to provide personal and dependent information, select the appropriate coverage options, and complete any required documentation.
The purpose of the Princeton health care plan is to provide comprehensive and affordable healthcare coverage to eligible individuals, ensuring their health and well-being.
The Princeton health care plan requires individuals to report personal information such as name, address, social security number, as well as dependent information, employment details, and other relevant data for proper enrollment and coverage.
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