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State Employees’ Insurance Board (SEIB) – Alabama fax number
(334) 859-6581
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Enrollment/Benefits Enrollments
Used for: Enrollment form submission for state employee health and related benefits (e.g., enrollment changes, new enrollments, and beneficiary/admin forms)
Fax destination details
- Department
- Enrollment/Benefits Enrollments
- Purpose
- Enrollment form submission for state employee health and related benefits (e.g., enrollment changes, new enrollments, and beneficiary/admin forms)
- Form
- IB02DS; IB03; IB04KH — Active Employee Enrollment (IB02DS), Status Change (IB03), and Retirement/Other Enrollment Forms (IB04KH) for SEIB
- Address
- 201 South Union Street, Suite 200, Montgomery, Alabama 36130-4900
- Voice phone
- (334) 859-6640
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit enrollment and status-change forms to SEIBEnrollments@alseib.org; refer to form PDFs for detailed instructions. See official SEIB site for forms.
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