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Get Retiree Employment Verification Form - Alabama State ... - Alseib

E RETIREE S STREET ADDRESS RETIREE S CITY, STATE ZIP Contract Number: EIBXXXXXXXXX Plan: SEHIP/Blue Cross Group: 13000 Unit: RET Retirement Date: XX/01/20XX Dear Retiree: Under Alabama law, Code of Alabama 1975, Section 36-29-19.8(1), if you retired after September 30, 2005 and become employed by another employer that provides at least 50% of the cost of single health insurance coverage, you must use your new employer s health benefit plan for primary coverage. If you are required to tak.

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