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TO BE USED FOR BENEFITS ELECTION FORM RETURN TO WORK RETIREES Information provided to ERS is maintained for managing your benefits. If you have questions about your information, or believe that information.

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How to fill out the Https Hrportal Hhsc State Tx Us online

Completing the Https Hrportal Hhsc State Tx Us form is a vital step in managing your benefits as a returning employee or retiree. This guide provides clear, step-by-step instructions to help you navigate the online form efficiently.

Follow the steps to accurately complete your benefits election form.

  1. Click the ‘Get Form’ button to access the online form and open it in your selected editor.
  2. Section A requires you to provide personal employee data. Fill in your Social Security Number, Employee ID, and full name, ensuring your mailing address, phone number, and email address are accurate.
  3. Indicate your gender, date of birth, and any changes to your employee information, such as name corrections. Provide information on your eligibility coverage status and any previous insurance coverage.
  4. In Section B, select the action relevant to your situation, such as 'Retiree RTW' for retirees returning to work or a relevant status change.
  5. Complete Section C by inserting the reason code and event date for any life events impacting your insurance changes.
  6. Section D involves selecting benefits options. Choose your health, dental, and vision coverage options and note any dependents you wish to add or drop.
  7. In Section E, provide personal data for each dependent, including the relationship, names, birth dates, and any related tobacco-use certifications.
  8. Read through Section F carefully, then authorize and sign the form. Ensure the date of your signature is provided.
  9. Finally, save your changes, then download, print, or share the form as necessary while ensuring a copy is retained for your records.

Start completing your benefits election form online today!

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Phone. For help or questions with your HHSC benefits case or YourTexasBenefits.com, call 2-1-1 or 1-877-541-7905.

2-1-1 Texas is a free, anonymous social service hotline available 24 hours a day, 7 days a week, 365 days a year. No matter where you live in Texas, you can dial 2-1-1, or (877) 541-7905, and find information about resources in your local community.

State or federal regulations or regulatory policy, call 512-438-3161 or email PolicyRulesTraining@hhsc.state.tx.us . Contracting to provide services and receive reimbursement, call 512-438-3234 or email IDDWaiverContractEnrollment@hhsc.state.tx.us .

Phone. For help or questions with your HHSC benefits case or YourTexasBenefits.com, call 2-1-1 or 1-877-541-7905. After you pick a language, press 2.

Get in Touch With DSHS By phone: 1-888-963-7111.

Centralized Accounting & Payroll / Personnel System (CAPPS)

Submitting a Complaint Against Healthcare Facilities (Except Substance Abuse (Chemical Dependency) Treatment or Narcotic or Opioid Treatment Facilities) Complaint hotline: 1-800-458-9858, Option 5. Email: hfc.complaints@hhs.texas.gov. Fax: 833-709-5735. Mailing address: Health and Human Services Commission.

You also can call 800-252-9240.

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© Copyright 1997-2026
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
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
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232