Get the free FlexCash Enrollment Authorization - foundation csulb
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This form is used by California State University, Long Beach Foundation for employees to enroll in the FlexCash Plan, which allows them to waive Foundation-provided medical and dental insurance in
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How to fill out flexcash enrollment authorization
How to fill out FlexCash Enrollment Authorization
01
Obtain the FlexCash Enrollment Authorization form from your employer or the HR department.
02
Fill in your personal information at the top of the form, including your name, employee ID, and contact information.
03
Indicate whether you are choosing to opt for FlexCash by checking the appropriate box.
04
Specify the type of coverage you are waiving if applicable (e.g., medical, dental).
05
Provide any required documentation to support your FlexCash request, such as proof of alternative coverage.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form to acknowledge your agreement to the terms.
08
Submit the form to your HR department or the designated administrator as instructed.
Who needs FlexCash Enrollment Authorization?
01
Employees who are enrolled in alternative health coverage and wish to opt out of the employer's health plans in exchange for FlexCash payments.
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What is FlexCash Enrollment Authorization?
FlexCash Enrollment Authorization is a form used by employees to enroll in a cash compensation option instead of employer-sponsored health benefits.
Who is required to file FlexCash Enrollment Authorization?
Employees who wish to opt out of employer-sponsored health benefits and receive cash compensation instead are required to file the FlexCash Enrollment Authorization.
How to fill out FlexCash Enrollment Authorization?
To fill out the FlexCash Enrollment Authorization, employees must provide personal details, indicate their desire to opt for cash benefits, and sign the form before submission.
What is the purpose of FlexCash Enrollment Authorization?
The purpose of FlexCash Enrollment Authorization is to allow employees to receive additional cash compensation instead of enrolling in employer-provided health insurance plans.
What information must be reported on FlexCash Enrollment Authorization?
The information that must be reported includes the employee's name, employee ID, choice to receive cash benefits, and confirmation of any other health coverage.
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