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.
Q: What is Form HCA-50-0911?
A: Form HCA-50-0911 is a form for cancelling supplemental life and AD&D insurance through Metlife in 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 coverage on top of basic life insurance.
Q: What is AD&D insurance?
A: AD&D insurance is Accidental Death and Dismemberment insurance which provides coverage in case of accidental death or dismemberment.
Q: What is Metlife?
A: Metlife is an insurance company.
Q: Why would someone cancel their supplemental life and AD&D insurance?
A: People may cancel their insurance for various reasons such as changes in employment or personal circumstances.
Q: Is this form specific to Washington?
A: Yes, this form is specific to Washington.
Q: Who can use this form?
A: Employees who have supplemental life and AD&D insurance through Metlife in Washington can use this form to cancel their coverage.
Q: Is there a deadline for submitting this form?
A: The specific deadline for submitting this form may vary, so it's best to check with PEBB or your employer for the deadline.
Form Details:
Download a fillable version of Form HCA-50-0911 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.