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HI 00815: State Enrollment of Eligible Individuals

Effective Dates: 09/29/1995 - Present

A sample of the buy-in form for railroad annuitants appears on the revserse side of this form may be locally reproduced.

 

G-HI 00815.208

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HI 00810: Medicare Processes
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HI 008: Requirement for Entitlement and Termination
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HI 00820: Terminations and Withdrawals
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