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PEEHIP FPL & CHIP (05/09) 2G FEDERAL POVERTY LEVEL ASSISTANCE APPLICATION (FPL) AND CHILDREN'S HEALTH INSURANCE PROGRAM APPLICATION (CHIP) I'm applying for: FPL CHIP FPL and CHIP P. O. Box 302150.

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Authorizes Related content

PEEHIP Premium Assistance Program | The Retirement...
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The Public Education Employees' Health Insurance Plan, or PEEHIP for short, was established in 1983 to provide quality healthcare insurance benefits for the health and well-being of our members.

Your PID can be found at the top right of paper corre- spondence from PEEHIP. If you do not know your PID, please click “Need a PID? (Request PID Letter)” for steps to have your PID mailed to you at your current mailing address on file with the RSA.

The average cost to a single Alabama teacher for health insurance is $15 per month, or about $180 per year. ing to data from the Kaiser Family Foundation, the average cost of an employer-based health plan for a single employee in Alabama is about $103 per month, or $1,233 per year.

The Public Education Employees' Health Insurance Plan, or PEEHIP for short, was established in 1983 to provide quality healthcare insurance benefits for the health and well-being of its members.

You may also contact us by phone at 877.517. 0020 or 334.517. 7000.

What do I do? Submit a copy of your corrected Social Security card showing your new name to PEEHIP. You must also contact the insurance clerk or payroll officer at your employer so that they can change your name on your Retirement Contribution Report.

Notice regarding Withdrawal of Retirement: If you have submitted your application for retirement and have decided to cancel your retirement, you must submit a signed cancellation request to TRS or ERS prior to your retirement date. The request must be received before your retirement date to be effective.

For more specific questions, please contact us by phone at 877.517. 0020 or 334.517. 7000.

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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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