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PEE HIP GPL (7/16) FEDERAL POVERTY LEVEL ASSISTANCE APPLICATION (GPL) ACTIVE OR RETIRED MEMBERS Public Education Employees Health Insurance Plan P. O. Box 302150 Montgomery, Alabama 361302150 3345177000
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What is peehip poverty form?
The peehip poverty form is a document used to determine eligibility for the Public Education Employees' Health Insurance Program (PEEHIP) based on income and household size.
Who is required to file peehip poverty form?
Employees who wish to enroll in or renew their coverage through PEEHIP are required to file the peehip poverty form.
How to fill out peehip poverty form?
The peehip poverty form can be filled out online or through a paper form provided by the PEEHIP office. Applicants must provide information about their income, household size, and other relevant details.
What is the purpose of peehip poverty form?
The purpose of the peehip poverty form is to assess applicants' income levels and determine their eligibility for health insurance coverage through PEEHIP.
What information must be reported on peehip poverty form?
Applicants must report their income, household size, and any other relevant financial information on the peehip poverty form.
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