Reference: Ref-00405

Reference Name: HIS-IP-2 (Rev. 10/11)
Agency: 60 Department of Management Services
60S Division of Retirement

Modified Document(s):
11/9/2012 Added fax number to the header of the form.
4/29/2013 At top of form and below address line instruction for form completion to enhance the users understanding of when form ...
10/28/2014 Change telephone and fax numbers.
Original Document(s):
6/10/2011
Description:

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
60S-4.020
Retiree Health Insurance Subsidy 20907106 Effective:
09/30/2018
View Text Proposed
60S-4.012
......
Amend rule language and forms to implement changes related to SB 7026. Remove repealed rule citations, any language duplicative of statute, and any other necessary changes. 20733379 8/3/2018
Vol. 44/151
View Text Final
60S-4.020
Retiree Health Insurance Subsidy 18968658 Effective:
05/29/2017
View Text Proposed
60S-4.020
To amend form HIS-IP 18831985 4/10/2017
Vol. 43/69
View Text Final
60S-4.020
Retiree Health Insurance Subsidy 15291873 Effective:
12/03/2014
View Text Final
60S-4.020
Retiree Health Insurance Subsidy 14923758 Effective:
08/26/2014
View Text Proposed
60S-4.020
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. 14701725 6/17/2014
Vol. 40/117
View Text Final
60S-4.020
Retiree Health Insurance Subsidy 12748339 Effective:
03/25/2013
View Text Proposed
60S-4.002
......
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, .... 12381776 12/12/2012
Vol. 38/89
View Text Final
60S-4.020
Retiree Health Insurance Subsidy 11365701 Effective:
04/17/2012