Agreement Reimburse

 Agreement to Reimburse for Insurance Premium
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State:
Multi-State
Control #:
US-AHI-206
Instant Download
Available formats: Word

Description premium and rehab reimbursement agreement form

This AHI form is used to ensure that the employee continues to pay their insurance premium while the are on leave.

All forms provided by U.S. Legal Forms, Inc.™, (USLF), the nations leading legal forms publisher. When you need reimburse insurance premium, don't accept anything less than the USlegal™ brand. "The Forms Professionals Trust ™

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