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This version of the form is not currently in use and is provided for reference only. Download this version of
Form HCA50-0911
for the current year.
Form HCA50-0911 Pebb Cancellation of Supplemental Life and Ad&d Insurance Through Metlife - Washington
What Is Form HCA50-0911?
This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HCA50-0911?
A: Form HCA50-0911 is a document used for canceling supplemental life and AD&D insurance through Metlife in the state of Washington.
Q: What does PEBB stand for?
A: PEBB stands for Public Employees Benefits Board.
Q: What is supplemental life insurance?
A: Supplemental life insurance is additional life insurance coverage that you can purchase in addition to the basic life insurance provided by your employer.
Q: What is AD&D insurance?
A: AD&D insurance is Accidental Death and Dismemberment insurance, which pays a benefit in case of accidental death or loss of limb or sight.
Q: Who can use Form HCA50-0911?
A: Form HCA50-0911 can be used by individuals in Washington who want to cancel their supplemental life and AD&D insurance through Metlife.
Q: How do I fill out Form HCA50-0911?
A: To fill out Form HCA50-0911, you will need to provide your personal information, policy details, and sign the form to authorize the cancellation.
Form Details:
- Released on October 1, 2021;
- The latest edition provided by the Washington State Health Care Authority;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HCA50-0911 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
