Form HCA-50-0911 Pebb Cancellation of Supplemental Life and Ad&d Insurance Through Metlife - Washington

Form HCA-50-0911 Pebb Cancellation of Supplemental Life and Ad&d Insurance Through Metlife - Washington

What Is Form HCA-50-0911?

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 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.

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Form Details:

  • Released on July 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 HCA-50-0911 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA-50-0911 Pebb Cancellation of Supplemental Life and Ad&d Insurance Through Metlife - Washington

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