Get Duke Energy Bargaining Unit Retiree Medical Change Form 2011-2025
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How to fill out the Duke Energy Bargaining Unit Retiree Medical Change Form online
Completing the Duke Energy Bargaining Unit Retiree Medical Change Form online can be straightforward if you follow the instructions carefully. This guide will help you navigate through each section and field of the form, ensuring a smooth submission process.
Follow the steps to fill out the Duke Energy Bargaining Unit Retiree Medical Change Form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin with the General Information section. This includes providing your Social Security number, birth date, last name, first name, middle initial, home phone number, and address (city, state, and zip code). Make sure all details are accurate.
- In the Reason for coverage change section, check the appropriate box for the reason that applies to your situation, such as retirement or marriage. Remember, you need to return this form within 30 days of the qualifying event.
- For the Medical Enrollment section, select your preferred retiree medical option and coverage level by checking the corresponding box. Ensure that you understand the implications of each choice, including waiving retiree medical coverage.
- List all participants to be covered under your retiree medical coverage in the Participant Information section. Include their last name, first name, middle initial, relationship to you, and Social Security number.
- If applicable, name a Primary Care Physician (PCP) for each participant under the AvMed HMO or BlueCare HMO medical plans. Ensure to include the PCP number and name as required.
- Review the provisions regarding retiree medical coverage and payment of medical premiums carefully. This ensures you understand your rights and responsibilities related to your selected plan.
- Finally, review the authorization section, confirm the information provided is true and complete, sign, and date the form. Double-check all sections for accuracy before finalizing.
- Once you have completed the form, you can save changes, download, print, or share the form as necessary.
Complete your Duke Energy Bargaining Unit Retiree Medical Change Form online today to ensure timely processing of your medical coverage.
Duke Power is a subsidiary of Duke Energy, and they operate under the same corporate umbrella. Essentially, Duke Power focuses on electricity generation and distribution in specific regions. If you are an employee looking into retirement, it’s essential to note that the benefits offered are through Duke Energy, and you can manage your retirement options using the Duke Energy Bargaining Unit Retiree Medical Change Form.
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