Get the free FY 2013 BENEFIT CHOICE ELECTION FORM - www2 illinois

This form is used by members to make elections regarding their health, dental, vision, and optional life insurance coverage during the enrollment period.

How to fill out fy 2013 benefit choice

How to fill out FY 2013 BENEFIT CHOICE ELECTION FORM

1. Begin by obtaining the FY 2013 Benefit Choice Election Form from your HR department or online portal.
2. Read the instructions provided carefully to understand the options available.
3. Fill in your personal information at the top of the form, including your name, employee ID, and contact information.
4. Review the benefits offered such as health insurance, dental, vision, and other elective benefits.
5. Select your desired benefits by checking the appropriate boxes for each option.
6. If applicable, indicate any dependents you wish to cover under your chosen benefits.
7. Calculate any contributions or premiums associated with your selections, if required.
8. Review your selections to ensure they are correct and complete.
9. Sign and date the form to confirm your elections.
10. Submit the completed form by the deadline specified, either in person or through the provided submission method.

Who needs FY 2013 BENEFIT CHOICE ELECTION FORM?

1. All employees who wish to enroll or make changes to their benefits for the FY 2013 plan year need to complete the Benefit Choice Election Form.
2. Employees experiencing life changes such as marriage, divorce, or the birth of a child may also need to fill out this form.

For pdfFiller’s FAQs

What is FY 2013 BENEFIT CHOICE ELECTION FORM?

The FY 2013 BENEFIT CHOICE ELECTION FORM is a document used by eligible employees to select or change their benefits for the fiscal year 2013, including health insurance and other benefits offered by their employer.

Who is required to file FY 2013 BENEFIT CHOICE ELECTION FORM?

All eligible employees who wish to enroll in, change, or update their benefits for the fiscal year 2013 are required to file the FY 2013 BENEFIT CHOICE ELECTION FORM.

How to fill out FY 2013 BENEFIT CHOICE ELECTION FORM?

To fill out the FY 2013 BENEFIT CHOICE ELECTION FORM, employees should provide their personal information, select their desired benefits, and submit the form by the designated deadline.

What is the purpose of FY 2013 BENEFIT CHOICE ELECTION FORM?

The purpose of the FY 2013 BENEFIT CHOICE ELECTION FORM is to allow employees to make informed choices about their benefits for the fiscal year, ensuring they receive the coverage that best suits their needs.

What information must be reported on FY 2013 BENEFIT CHOICE ELECTION FORM?

The information that must be reported on the FY 2013 BENEFIT CHOICE ELECTION FORM includes the employee's name, identification number, selected benefits, and any dependents covered under the benefits.