Ala. Admin. Code r. 800-6-7-.01

Current through Register Vol. 43, No. 1, October 31, 2024

Section 800-6-7-.01 - PEH 101-11-83 - PEEHIP Member Record Form

Multi-purpose form used to establish insurance coverage, make changes in such coverage, and for cancellation of such coverage.

Author: William T. Stephens, General Counsel, RSA.

Ala. Admin. Code r. 800-6-7-.01

Filed May 20, 1985; effective June 25, 1985.

Statutory Authority:Code of Ala. 1975, § 41-22-4.