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Get the free FlexConnect Claims Rollover Election to Participate - msun

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This document allows employees of the Montana University System to participate in the FlexConnect Claims Rollover for their health insurance coverage, specifically tailored for Blue Cross/Blue Shield
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How to fill out flexconnect claims rollover election

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How to fill out FlexConnect Claims Rollover Election to Participate

01
Obtain the FlexConnect Claims Rollover Election to Participate form from your HR department or the FlexConnect website.
02
Read the instructions carefully to understand the eligibility criteria and requirements.
03
Fill in your personal information, including your name, employee ID, and contact information.
04
Indicate your decision to participate in the FlexConnect program by checking the appropriate box.
05
Provide any required documentation or evidence needed to support your election.
06
Review the completed form to ensure all information is accurate and complete.
07
Sign and date the form to authenticate your election.
08
Submit the completed form to the designated HR representative or the specified submission method before the deadline.

Who needs FlexConnect Claims Rollover Election to Participate?

01
Employees who are enrolled in a Flexible Spending Account (FSA) program.
02
Those who wish to continue using their remaining funds in the FlexConnect program.
03
Individuals looking for options to roll over their unused claims balance to the next plan year.
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FlexConnect Claims Rollover Election to Participate is a process that allows participants in a flexible benefits plan to choose to roll over unused claims or funds from one plan year to the next, ensuring they can utilize their benefits without losing any remaining balance.
Participants in the FlexConnect program who wish to roll over their unused claims or funds from the previous plan year must file the FlexConnect Claims Rollover Election to Participate.
To fill out the FlexConnect Claims Rollover Election to Participate, participants need to complete the designated form, providing their personal information, selecting the rollover option, and signing the document before submitting it by the specified deadline.
The purpose of the FlexConnect Claims Rollover Election to Participate is to provide flexibility for participants by allowing them to carry over unused funds or claims, thus maximizing their benefits and minimizing the loss of benefits at the end of the plan year.
The information that must be reported on the FlexConnect Claims Rollover Election to Participate includes the participant's name, employee ID, contact information, the amount of claims to be rolled over, and any required signatures.
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