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Benefits Enrollment and Change Form Please complete this form and return it to the Pension & Benefits Office in the Department of Human Resources. Claims can only be processed for a spouse and/or

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What is benefits enrolment and change?

Benefits enrolment and change refers to the process of enrolling in or modifying one's benefits plan, such as health insurance, retirement plan, or other employee benefits provided by an employer.

Who is required to file benefits enrolment and change?

All employees who are eligible for benefits offered by their employer are required to file benefits enrolment and change forms when initially enrolling or making changes to their benefits plans.

How to fill out benefits enrolment and change?

To fill out benefits enrolment and change forms, employees usually need to provide personal information, select the desired benefits options, indicate any dependents to be covered, and sign the form. Specific instructions may vary depending on the employer's process and the provided forms.

What is the purpose of benefits enrolment and change?

The purpose of benefits enrolment and change is to allow employees to select and modify their preferred benefits options based on their individual needs, such as choosing healthcare coverage, retirement savings plans, or other employee benefits.

What information must be reported on benefits enrolment and change?

Employees may be required to report personal information like their full name, address, social security number, dependents' information, desired benefits options, and any changes or updates to their previous selections.

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