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Vermont Higher Education Investment Plan (VH EIP)
Payroll Deduction Form
Use this form to establish or modify Payroll Deduction
Questions? Call toll-free 1-800-637-5860 P.O. Box 8101, Boston, MA 02266-8101
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What is optional form 67?
Optional Form 67 is a document that is used to report information regarding the participation of federal employees in health insurance plans.
Who is required to file optional form 67?
Federal employees who are enrolled in health insurance plans are required to file optional form 67.
How to fill out optional form 67?
Optional form 67 can be filled out by providing accurate and complete information about the employee's health insurance plan, including details such as the plan name, identification number, and coverage level.
What is the purpose of optional form 67?
The purpose of optional form 67 is to collect data and ensure compliance with federal regulations regarding the health insurance coverage of federal employees.
What information must be reported on optional form 67?
Optional form 67 requires the reporting of information such as the employee's health insurance plan name, identification number, coverage level, and effective dates of coverage.
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