Get Guest Advantagetm Application - Princeton Hr Solutions

This guide provides clear instructions on how to effectively complete the Guest AdvantageTM Application, ensuring that users have all the necessary information to fill out the form correctly. Follow the steps to navigate each section with ease and provide the required details accurately.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in your document editor.
2. Begin by filling in the Subscriber Information section. Enter the subscriber’s name, member ID, present street address, city, state, zip code, and home telephone number. Indicate marital status, sex, and birth date. Select the type of coverage applicable.
3. If applicable, provide employer information, including the employer’s name and address. Check the employment status as either 'Active' or 'Retired'.
4. Proceed to the Guest Information section. Enter the guest’s name and member ID. If the permanent street address is the same as the subscriber’s, check the appropriate box.
5. Fill in the out-of-area street address and relevant dates when the guest is expected to reside out of area, including the first and last days.
6. Indicate whether there are pending services requiring prior authorization and provide descriptions if applicable. Select the type of Guest Advantage based on the reason for the out-of-area address, ensuring to attach necessary documentation.
7. Once all sections are completed, you can save the changes, download the file, print it if necessary, or share the completed application as per your preference.

Complete your application online today for a seamless experience in managing your health coverage.