Get the free Sign, date, and submit this form to SEGIP: segip

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Mn.us or Minnesota Management Budget SEGIP 400 COB 658 Cedar Street St Paul MN 55155 or fax 651-296-5445. Mn.us or visit https //mn.gov/mmb/segip. By signing this form I acknowledge that Waiving medical coverage I am eligible for the full employer contribution towards medical coverage. Notice of Collection of Private Data Minnesota Management Budget MMB administers the State Employee Group Insurance Program SEGIP. I will be unable to waive or change my carrier until the next Open Enrollment...

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