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Ref-01936 HIS-IP (Rev. 03/12)

HIS-IP Rev. 03-12.pdf

10/31/2012

HIS-IP REV 03-12 TECH CHNG 03-13.pdf

to add fax number to form. 3/27/2013

Visit the Official Version

Agency:: Department of Management Services
60S. Division of Retirement

Related Rules

60S-4.020 Retiree Health Insurance Subsidy

Related Notices

12381776.To amend the rules of the Division of Retirement to correspond with statutory changes up through the 2012 Legislative session; remove duplicative sentence from rule, expound upon power of attorney agent designation procedure, make one technical correction to rule, and to incorporate by reference two revised division forms and one revised State Board of Administration form.
14701725.To incorporate by reference a revised division form. The revision to Form HIS-IP is to simplify and clarify the instructions on how to apply for the Health Insurance Subsidy.