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Get For Shbp Official Use Only - Seafarers
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How to fill out the For SHBP Official Use Only - Seafarers online
This guide provides clear and supportive instructions for filling out the 'For SHBP Official Use Only - Seafarers' form online. Users will receive step-by-step guidance to ensure accurate completion of the form, enabling efficient processing for health and benefits enrollment.
Follow the steps to complete the form accurately
- Click the ‘Get Form’ button to access the online version of the form. This action will allow you to open the form in an editable format.
- Begin by entering your participant information. Fill in your full name, Social Security Number (SSN), address (street, city, state, zip code), and date of birth (DOB). Ensure that all details are accurate to avoid complications.
- Next, provide details regarding your dependent child. Include their name, SSN (or Alien ID # or I-94 # if applicable), and their address if it differs from yours. Be sure to include a copy of the Social Security card or other identification.
- Indicate whether your dependent is employed. Mark the appropriate box for 'Yes' or 'No'. If employed, provide the name and address of their employer, along with the employer's phone number.
- Answer if your dependent is offered health coverage through their employment by selecting 'Yes' or 'No'. If 'Yes', include the effective date of that coverage if it has been elected.
- Carefully review and confirm all the information provided for accuracy. It is crucial that all questions are answered completely for the form to be accepted.
- Sign and date the form in the specified areas to certify that the information provided is true and complete. Make sure to understand the importance of notifying the plan office of any changes regarding your dependent's status.
- If required, have the form notarized in the designated section. This may involve providing identification to the notary public.
- Once all sections are completed and verified, you can save the changes, download the form for your records, print it, or share it as needed.
Complete your form online today to ensure a smooth enrollment process for your dependent's health benefits.
Under the current contract, the 'allottee' is the person designated by the seafarer as the recipient of his or her salary allotment. On the other hand, the beneficiary is the person(s) to whom the death compensation and other benefits are paid and is based on the Philippine law on succession.
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