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  • Pebtf-40 Direct Payment Authorization Form - Pebtf

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DIRECT PAYMENT AUTHORIZATION FORM The Pennsylvania Employees Benefit Trust Fund (PEBTF) is pleased to offer you a new service The Direct Payment Plan. Now you can have your health insurance payments.

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Related content

Pennsylvania Employees Benefit Trust Fund (PEBTF)
Apr 1, 2014 — note that PEBTF staff has no authority to amend the Plan Document or...
Learn more
State System Employee Benefits - PA State System...
contact the Pennsylvania Employees' Benefit Trust Fund (PEBTF) at (717) 561-. 4750 or...
Learn more

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The Pennsylvania Employees Benefit Trust Fund (PEBTF), established in 1988, administers health care benefits to approximately 68,000 eligible Commonwealth of Pennsylvania employees and their dependents and 65,000 retirees and their dependents, as well as additional employer groups.

Welcome to Employee Benefit Trust of Eastern Pennsylvania, or EBTEP as it is commonly known to most employees. EBTEP was created in 1983 to provide affordable, cost-saving and quality heath care benefits to public school system employees and their dependents.

Regardless of which health plan you choose, you will receive: Behavioral and mental health counseling, prescription drug, dental, vision, and hearing aid benefits. Free life insurance of 1x salary to a maximum of $40,000, and additional life insurance may be purchased at competitive rates.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232