Get the free ExactBid Benefit Election Form 2016 - Filice Insurance

Exacted Benefit Election Form 2016 Employee Name Social Security Number ELECTION TO PARTICIPATE I hereby elect to participate in the Exacted Benefit Program. I wish to receive the benefits designated

How to fill out exactbid benefit election form

How to Fill Out ExactBid Benefit Election Form:

1. Start by obtaining the exactbid benefit election form from your employer or human resources department. It is typically provided during the open enrollment period or when you first become eligible for benefits.
2. Carefully read the instructions provided on the form. This will help you understand the purpose of the form and the information required.
3. Begin by providing your personal details such as your name, employee ID or social security number, and contact information.
4. Next, indicate your employment status and the coverage options you are selecting. This may include medical, dental, vision, life insurance, and other benefits. Tick the appropriate boxes or write in the coverage options you want.
5. If dependents are eligible for coverage, provide their information as well. This may include their full names, relationship to you, and other relevant details.
6. Review the sections related to additional voluntary benefits or flexible spending accounts, if applicable. These may include options like health savings accounts or dependent care reimbursement accounts. Provide the necessary information or select your desired options.
7. Pay close attention to any sections related to beneficiary designations for life insurance or retirement plans. Ensure you accurately name your beneficiaries and specify the percentage of benefits they should receive.
8. If the form requires you to make any financial contributions for the selected benefits, indicate the desired deduction amounts or percentages for each benefit.
9. Once you have completed all the required sections, review the form for accuracy and completeness. Double-check that you have provided all necessary information and signed and dated the form, if required.
10. Return the completed form to your employer or human resources department by the specified deadline.

Who Needs ExactBid Benefit Election Form:

1. Employees who are eligible for benefits through their employer typically need to fill out the exactbid benefit election form.
2. This form is necessary to indicate the coverage options an employee wishes to enroll in or make changes to during the open enrollment period.
3. New employees may also need to fill out this form when initially becoming eligible for benefits.
4. Dependents who are eligible for coverage may also be required to provide their information on the exactbid benefit election form.
5. It is important for all eligible employees to complete this form accurately and within the designated timeframe to ensure timely enrollment in desired benefit programs.

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