[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

PEEHIP Wellness Form PDF
PEEHIP Wellness Form PDF
PDF TitlePEEHIP Wellness Form PDF
File Size260 KB

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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