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PEE HIP PAA (3/17)PREMIUM ASSISTANCE APPLICATIONACTIVE OR RETIRED MEMBERS Public Education Employees Health Insurance Plan. O. Box 302150 Montgomery, Alabama 361302150 3345177000 or 8775170020 Website:
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How to fill out peehip premium assistance application

01
To fill out the PEEHIP Premium Assistance Application, follow these steps:
02
Download the application form from the official PEEHIP website.
03
Fill in your personal details such as name, address, phone number, and social security number.
04
Provide information about your current employment status and income.
05
Indicate the number of dependents you have and provide their details.
06
Submit any required supporting documents, such as proof of income or proof of dependents.
07
Review your application for accuracy and completeness.
08
Sign the application form.
09
Submit the completed application by mail or online, as instructed by PEEHIP.
10
Wait for the confirmation of your premium assistance eligibility from PEEHIP.

Who needs peehip premium assistance application?

01
PEEHIP Premium Assistance Application is needed by individuals who require financial assistance to pay for their PEEHIP premiums.
02
These individuals may have a low income or face financial hardship that makes it difficult for them to afford the full PEEHIP premium.
03
By completing the application, they can apply for premium assistance and potentially reduce their healthcare costs.
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The peehip premium assistance application is a form used to apply for financial assistance to help cover the cost of health insurance premiums under the Public Education Employees' Health Insurance Program (PEEHIP).
Employees of public education institutions in Alabama who are enrolled in the PEEHIP program and meet certain income requirements are required to file the peehip premium assistance application.
To fill out the peehip premium assistance application, you will need to provide information about your income, household size, and insurance coverage. The form can be completed online or submitted by mail.
The purpose of the peehip premium assistance application is to determine eligibility for financial assistance to help offset the cost of health insurance premiums for individuals enrolled in the PEEHIP program.
Information that must be reported on the peehip premium assistance application includes income, household size, insurance coverage, and any other relevant financial information.
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