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Printable Form 4626 Saint Paul Minnesota: What You Should Know

Minnesota Life Annuity Plan Form Use this form to designate participants in Minnesota Life annuity plans. Minnesota Life, Inc. Employee Benefit Plan Form Use this form to designate participants in MN Life, Inc. employee benefit plans. MN Trusts The Minnesota Trust is a state authorized trust that provides a source of income to Minnesota residents and nonresidents with Minnesota residence. Minnesota's residents can choose to participate in the Minnesota trust while nonresidents need a nonresident card to participate. In accordance with the Minnesota Trust Act, funds from the Minnesota trust are restricted in certain ways. For more information, contact: Minnesota Trust Commissioner, Statewide Health Insurance Program The Minnesota Health Insurance Assistance Fund, a.k.a. the Minnesota Health Plan Program, provides state and national health insurance for low-income individuals. This information is available at healthplanprogram.state.MN.us. For more information, contact: Minnesota Secretary of Health and Human Services, 600 E. Washington St., S.E., Room 521, St. Paul, MN 55102 Minnesota Health Plan Program, 800 SW Adams Blvd., Suite 200, St. Paul, MN 55101 R.D.S.E. The Renewal Declaration for Qualifying Disability Supplemental Income Supplement is a form that must be completed by participants in State Disability Plans to receive supplemental income on SSI. The form is administered by the Social Security Administration. For more information, contact: Social Security Administration, 611 N. Capitol St., 2nd Floor, Washington, DC 20; V. Minnesota's Disability Programs Minnesota participates in several programs administered by the U.S. Department of Health and Human Services to assist individuals who have disabilities. The following documents are available through the Minnesota Department of Human Services. U.S. Department of Health and Human Services. Office of Disability Eligibility. Washington, DC. Telephone:. Minnesota Disability, Disabilities in Transition & Development. Washington, DC. Phone:. D. For disability assistance, call MTS at and provide your information. E. In addition to the Minnesota Health Insurance Assistance Program and the Minnesota Disability Board, we offer special low income programs and services related to providing disability assistance and related services.

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