[PDF] PEEHIP Wellness Form PDF in English

Complete the PEEHIP Wellness Form yearly to get a premium discount. Requires doctor’s signed form, physical/bloodwork, online health actions by August 31st for discount starting October 1st.

PEEHIP Wellness Form PDF in English

PDF Title	PEEHIP Wellness Form PDF
Language	English
Pages	2
File Size	260 KB
Format	PDF
Source	lee.k12.al.us
Price	Free

About PDF

• The form is for PEEHIP members to get a wellness premium discount on their health insurance.
• You must get a routine physical and blood work yearly to qualify.
• The doctor needs to fill out the form and sign it.
• You need to complete online health actions like taking a health quiz.
• Submit the completed form and health actions by August 31 to get the discount starting October 1.