[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 | |
| 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.
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