Get Sehp Communication Form

The Sehp Communication Form is an essential document for communicating concerns, suggestions, or requests related to the State Employee Health Plan. This guide will provide you with clear instructions on how to accurately complete the form online, ensuring that your submission is effective and efficient.

Follow the steps to successfully fill out the form

1. Click the ‘Get Form’ button to access the communication form and open it in an online editing tool.
2. Begin by filling in the member information section. Include your full name, employee ID, and social security number in the appropriate fields.
3. Enter your address, ensuring to include your city, state, and zip code for accurate identification.
4. Indicate whether your benefits are paid before or after tax by selecting the appropriate box. You may choose between 'Pretax' or 'After Tax'.
5. Input your work telephone number, including the area code, and your work email address to facilitate communication.
6. Provide your agency number and agency name, as these details are necessary for processing your request.
7. Sign the form with your name and include the date on which the form is signed to verify your submission.
8. In the designated area, write down your specific concern, suggestion, or request related to the SEHP.
9. Fill out the information for your agency or human resource officer, including their name and phone number, to provide necessary context for your submission.
10. Once all sections are completed, be sure to review your entries for accuracy. You can then save your changes, download a copy, print the form, or share it as required.

Complete your Sehp Communication Form online today to ensure your concerns are addressed promptly.