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EMPLOYEE BENEFITS NOTIFICATION Utah Retirement Systems PO Box 1590 Salt Lake City, Utah 841101590 8013667318 8007537318 FAX 8013667759 EMPLOYER INSTRUCTIONS: For Pension and Savings Plans Benefits
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How to fill out employee benefits notification Utah:

01
Start by obtaining the employee benefits notification form specific to Utah. This form can usually be obtained from your employer or the Utah Department of Workforce Services website.
02
Begin by providing your personal information, such as your name, address, phone number, and Social Security number.
03
Enter your employer's information, including the company name, address, and contact details.
04
Specify the effective date of your employee benefits and the duration of coverage.
05
Indicate the type of benefits you are notifying, such as health insurance, retirement plan, disability benefits, or other perks provided by your employer.
06
Provide details about the benefits you are currently enrolled in or wish to enroll in, including the coverage options, percentage of contribution, and any additional information required.
07
Include information about any dependents you may have who are covered under your employee benefits plan, such as their names, dates of birth, and relationship to you.
08
Sign and date the employee benefits notification form to certify the accuracy of the provided information.
09
Submit the completed form to your employer or follow any specific instructions provided by the Utah Department of Workforce Services.

Who needs employee benefits notification Utah:

01
Employees who are eligible for and enrolled in any form of employee benefits offered by their employer in the state of Utah.
02
Individuals who have newly joined a company and wish to notify their employer about their desire to enroll in the available employee benefits.
03
Employees who experience a change in their employee benefits coverage or wish to make adjustments to their existing benefits plan may also need to submit an employee benefits notification form.
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Employee benefits notification utah is a required form that employers in Utah must file to notify employees of their benefits.
All employers in Utah are required to file employee benefits notification utah.
Employee benefits notification utah can be filled out online through the Utah state website or by submitting a paper form.
The purpose of employee benefits notification utah is to inform employees about the benefits they are eligible to receive.
Employee benefits notification utah must include details about healthcare coverage, retirement plans, and other employee benefits.
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