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2016 Benefit Options Open Enrollment Form Retiree INSURED INFORMATION REQUIRED If you decline or cancel both medical and dental coverages you will NOT be able to reenroll with ADA in the future. If

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What is benefit options open enrollment?

Benefit options open enrollment is a period when employees can select, change, or update their benefits such as health insurance, retirement plans, and other perks offered by their employer.

Who is required to file benefit options open enrollment?

All employees who are eligible for benefits offered by their employer are required to participate in the benefit options open enrollment.

How to fill out benefit options open enrollment?

Employees can typically fill out benefit options open enrollment either online through their company's HR portal or by submitting paper forms provided by their employer.

What is the purpose of benefit options open enrollment?

The purpose of benefit options open enrollment is to give employees the opportunity to review and make changes to their benefit selections to best meet their needs for the upcoming year.

What information must be reported on benefit options open enrollment?

Employees must report personal information, dependent information, benefit selections, and any changes or updates to their existing benefits on the benefit options open enrollment form.

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