Get the free Employee Benefit Election Form

This form is used by employees of Hawaiian Electric Industries, Inc. to elect benefits for a long term care policy offered by Unum Life Insurance Company. The document includes selections for different

How to fill out employee benefit election form

How to fill out Employee Benefit Election Form

1. Begin by obtaining the Employee Benefit Election Form from your HR department or company portal.
2. Read the instructions on the form carefully to understand the available benefits.
3. Fill in your personal information including your name, employee ID, and department.
4. Review the list of benefits and select the ones you wish to enroll in by marking the appropriate boxes.
5. For each selected benefit, provide any additional requested information, such as dependent details if necessary.
6. Double-check your selections and ensure all required fields are completed.
7. Sign and date the form to certify your choices.
8. Submit the completed form to your HR department within the specified deadline.

Who needs Employee Benefit Election Form?

1. All employees who wish to enroll in or make changes to their benefits package need to fill out the Employee Benefit Election Form.

For pdfFiller’s FAQs

What is Employee Benefit Election Form?

The Employee Benefit Election Form is a document that allows employees to select their preferred benefits offered by their employer, such as health insurance, retirement plans, and other perks.

Who is required to file Employee Benefit Election Form?

Employees who wish to enroll in or change their benefit selections during an open enrollment period or after a qualifying life event are required to file the Employee Benefit Election Form.

How to fill out Employee Benefit Election Form?

To fill out the Employee Benefit Election Form, employees should provide their personal information, select their desired benefits from the options provided, and sign the form to confirm their choices.

What is the purpose of Employee Benefit Election Form?

The purpose of the Employee Benefit Election Form is to facilitate the enrollment and administration of employee benefits, ensuring that employers accurately capture and process employee choices regarding their benefits.

What information must be reported on Employee Benefit Election Form?

The information that must be reported on the Employee Benefit Election Form includes the employee's name, identification number, selected benefits, and any dependents that may be covered under the chosen plans.