Get Beneflex Phone Number

Filling out the Beneflex Phone Number form online can be a straightforward process when you know the steps. This guide will provide you with clear instructions to help you accurately complete the form and ensure all necessary information is provided.

Follow the steps to complete the Beneflex Phone Number form online.

1. Press the ‘Get Form’ button to access the Beneflex Phone Number form and open it in your online editor.
2. Begin by entering the employer's name, which is Peabody, in the designated field.
3. In Part 1, fill in your Social Security number. This information is crucial for the claims process.
4. Provide your last name, first name, and middle initial in the respective fields to ensure accurate identification.
5. Input your complete address, including street or P.O. Box, city, state code, and zip code. Only fill this out if your information has changed recently.
6. Enter your phone number in the space provided. This should be a current and active number for effective communication.
7. Fill in your email address to receive updates and necessary communications regarding your claim.
8. Proceed to Part 2 where you will list the retiree's name, coverage period start and end dates, the insurance company's name, and the claimed amount.
9. Total claimed amount should be calculated and entered in the specified field. Ensure that all amounts are accurate for processing.
10. In Part 3, read the acknowledgment statement carefully, confirming that you have paid the medical premiums and attach proof of this payment.
11. Sign and date the form in the designated area to validate your submission.
12. Once all sections are completed, save your changes, and consider downloading or printing the form. Ensure all supporting documentation is included before submission.

Complete your documents online today to ensure timely processing of your claims.