Insurance benefits program 2026

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  1. Click ‘Get Form’ to open the Insurance benefits program in the editor.
  2. Begin by reviewing the 'Three Steps to Participation' section. Familiarize yourself with the eligibility determination process, which must be initiated six months prior to your desired effective date.
  3. Complete the Optional Employer Eligibility Determination Request form and submit it to PEBA for review.
  4. Once eligibility is confirmed, prepare the Optional Employer Participation Resolution. This document must be executed by your governing body and submitted at least 120 days before your coverage start date.
  5. Remit the required advance deposit based on your employer category (small, medium, or large) along with your resolution.
  6. After approval, utilize our platform's features to educate and enroll employees and retirees in the selected insurance benefits.

Start using our platform today for free to streamline your Insurance benefits program enrollment!

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Versions Form popularity Fillable & printable
2023 4.8 Satisfied (38 Votes)
2021 4.8 Satisfied (240 Votes)
2020 4.3 Satisfied (45 Votes)
2019 4.2 Satisfied (56 Votes)
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