Form A (HCA51-4031) Pebb Retiree Election Form - Washington

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Form A (HCA51-4031) Pebb Retiree Election Form - Washington

What Is Form A (HCA51-4031)?

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 A (HCA51-4031) Pebb Retiree Election Form?
A: Form A (HCA51-4031) Pebb Retiree Election Form is a document used by retirees in Washington to make their health plan elections.

Q: Who can use Form A (HCA51-4031) Pebb Retiree Election Form?
A: Retirees in Washington state can use Form A (HCA51-4031) Pebb Retiree Election Form.

Q: What is the purpose of Form A (HCA51-4031) Pebb Retiree Election Form?
A: The purpose of Form A (HCA51-4031) Pebb Retiree Election Form is for retirees to select their health plan options.

Q: Is Form A (HCA51-4031) Pebb Retiree Election Form specific to a certain group of retirees?
A: Yes, Form A (HCA51-4031) is specific to Pebb retirees.

Q: What information do I need to fill out Form A (HCA51-4031) Pebb Retiree Election Form?
A: You will need your personal information, retirement details, and the health plan options you want to choose.

Q: Are there any deadlines for submitting Form A (HCA51-4031) Pebb Retiree Election Form?
A: Yes, there are deadlines specified by Pebb for submitting the form. Please check the instructions or contact Pebb for the exact deadlines.

Q: Can I make changes to my health plan options after submitting Form A (HCA51-4031) Pebb Retiree Election Form?
A: It depends on the rules and policies of Pebb. Contact Pebb to inquire about making changes to your health plan options.

Q: What should I do if I have questions or need assistance with Form A (HCA51-4031) Pebb Retiree Election Form?
A: If you have any questions or need assistance with Form A (HCA51-4031) Pebb Retiree Election Form, you should contact Pebb directly for guidance and support.

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Form Details:

  • Released on December 1, 2022;
  • 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 A (HCA51-4031) by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form A (HCA51-4031) Pebb Retiree Election Form - Washington

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