Get Employee Termination Report - Healthamerica - Bcfs

Completing the Employee Termination Report for HealthAmerica - Bcfs is an essential step in managing employee coverage accurately. This guide will help you through the process of filling out the form online, ensuring that all necessary information is completed for timely processing.

Follow the steps to complete the report efficiently.

1. Press the ‘Get Form’ button to access the EMPLOYEE TERMINATION REPORT and open it in the editor.
2. Begin filling out the form by entering the date at the top. This should reflect the date you are submitting the form.
3. Input the group name and group number, which will help identify the specific employer submitting the termination report.
4. Enter the contact name and their title in the appropriate fields. This information will assist in any follow-up communications regarding the termination.
5. Add the contact signature to validate the report. This step is crucial for processing the termination.
6. Select the reason for termination from the provided options, such as employment termination, moved out of the area, or other specified reasons.
7. Fill in the subscriber ID number, social security number, phone number, and email address of the employee being terminated. This information is vital for record-keeping and communication.
8. Complete the section with the employee’s name, ensuring it is listed as last name, first name, and middle initial.
9. Specify the last day of employment and the last day of coverage. This helps to clarify the exact timeline for the termination.
10. Lastly, review all the entered information for accuracy, then save the changes, and download or print the form for your records. If preferred, you can share the form via fax to the Eligibility Department at 1-800-788-5447.

Ensure to complete your employee termination reports online efficiently to avoid any delays in processing.