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EMPLOYEE/QUALIFIED BENEFICIARY NOTICE OF A QUALIFYING EVENT I hereby notify Dakota Wesleyan Universities plan administrator of a qualifying event that is a: Divorce or legal separation A copy of the
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How to fill out employee qualified beneficiary notice

How to fill out employee qualified beneficiary notice:
01
Obtain the necessary forms: Start by acquiring the employee qualified beneficiary notice form from your employer. This form is typically used to provide information about an employee's benefits and rights to their eligible beneficiaries in the event of their death or disability.
02
Review the instructions: Before filling out the form, carefully read through the instructions provided. This will ensure that you understand the purpose of each section and the information required.
03
Provide employee information: Begin by entering your personal details, such as your full name, employee identification number, and contact information. This will help identify you as the employee initiating the notice.
04
Identify the beneficiaries: Indicate the names and contact information of the qualified beneficiaries who will be receiving the employee's benefits. These beneficiaries could include a spouse, children, or other dependents as defined by the plan.
05
Specify the type of benefits: In this section, you need to specify the types of benefits that would be available to the beneficiaries in the event of your death or disability. This could include life insurance, retirement savings, medical coverage, or any other applicable benefits.
06
Review and sign: Before submitting the form, carefully review all the information you have provided, ensuring its accuracy and completeness. Finally, sign and date the form to acknowledge that the information is true and correct to the best of your knowledge.
Who needs employee qualified beneficiary notice?
Employers and employees who are covered by benefit plans that offer qualified beneficiary notice should be aware of this requirement. Employers are responsible for providing the employee qualified beneficiary notice forms to their eligible employees, while employees should complete and submit the form when necessary. The notice serves as an important communication tool to inform eligible beneficiaries about the benefits they are entitled to in the event of the employee's death or disability, ensuring that proper arrangements can be made.
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