Get the free FY2014 BENEFIT CHOICE ELECTION FORM

Benefitschoice. il.gov. SIGNATURE In order for your elections to be effective July 1 2013 you must sign and date the Benefit Choice Election Form and submit it to your agency GIR no later than May 31 2013. MEMBER SIGNATURE DATE GIR/GIP SIGNATURE MAIL TO SERS PO Box 19255 Springfield IL 62794-9255 no later than May 31 2013 CMS-350 IL401-1630 04/09/13 BENEFIT CHOICE ELECTION FORM INSTRUCTION SHEET If you are not changing your current coverage elect...

How to fill out fy2014 benefit choice election

How to fill out FY2014 BENEFIT CHOICE ELECTION FORM

1. Obtain the FY2014 Benefit Choice Election Form from your HR department or the appropriate website.
2. Read the instructions carefully to understand the options and requirements.
3. Fill in your personal details at the top of the form, including your name, employee ID, and contact information.
4. Review the available benefit options listed on the form, including health insurance, dental coverage, and retirement plans.
5. Indicate your choices for each benefit option by checking the appropriate boxes.
6. If applicable, provide any additional information or documentation required for your selected benefits.
7. Review the completed form for accuracy and completeness.
8. Sign and date the form at the designated area.
9. Submit the form to your HR department by the specified deadline.

Who needs FY2014 BENEFIT CHOICE ELECTION FORM?

1. Employees who are eligible for benefits under the FY2014 Benefit Choice program.
2. New hires who need to select their benefits during their onboarding process.
3. Individuals who are making changes to their current benefits during the open enrollment period.

For pdfFiller’s FAQs

What is FY2014 BENEFIT CHOICE ELECTION FORM?

The FY2014 BENEFIT CHOICE ELECTION FORM is an official document utilized by employees to elect or change their benefits for the fiscal year 2014.

Who is required to file FY2014 BENEFIT CHOICE ELECTION FORM?

Employees who wish to enroll in or make changes to their health insurance and other benefits for the fiscal year 2014 are required to file the FY2014 BENEFIT CHOICE ELECTION FORM.

How to fill out FY2014 BENEFIT CHOICE ELECTION FORM?

To fill out the FY2014 BENEFIT CHOICE ELECTION FORM, employees should provide their personal information, select their desired benefit options, and sign the form to confirm their choices.

What is the purpose of FY2014 BENEFIT CHOICE ELECTION FORM?

The purpose of the FY2014 BENEFIT CHOICE ELECTION FORM is to allow employees to formally select and modify their benefits for the upcoming fiscal year, ensuring they have the coverage they need.

What information must be reported on FY2014 BENEFIT CHOICE ELECTION FORM?

The information that must be reported on the FY2014 BENEFIT CHOICE ELECTION FORM includes the employee's name, ID number, selected benefit plans, and any dependents that will be covered under the plans.