Form preview

Get the free City of Anaheim VantageCare Retirement Health Savings (RHS) Plan Spouse, Covered Dep...

Get Form
Este formulario se utiliza para notificar a ICMA-RC sobre su cónyuge, dependientes, hijos adultos y beneficiarios designados para su cuenta RHS.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign city of anaheim vantagecare

Edit
Edit your city of anaheim vantagecare form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your city of anaheim vantagecare form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing city of anaheim vantagecare online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit city of anaheim vantagecare. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
Dealing with documents is simple using pdfFiller. Try it now!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out city of anaheim vantagecare

Illustration

How to fill out City of Anaheim VantageCare Retirement Health Savings (RHS) Plan Spouse, Covered Dependent, and Beneficiary Designation Form

01
Obtain the City of Anaheim VantageCare RHS Plan Spouse, Covered Dependent, and Beneficiary Designation Form from the HR department or the official website.
02
Read the instructions carefully to understand the requirements of the form.
03
Fill in your personal information in the designated sections, including your name, address, and contact number.
04
Specify your spouse or covered dependents by entering their full names and relationship to you.
05
Designate your beneficiaries by providing their names, relationships, and percentages of the benefit they will receive.
06
Review your entries for accuracy to avoid any errors.
07
Sign and date the form as required.
08
Submit the completed form to the appropriate HR or benefits administration personnel.

Who needs City of Anaheim VantageCare Retirement Health Savings (RHS) Plan Spouse, Covered Dependent, and Beneficiary Designation Form?

01
Employees of the City of Anaheim who wish to designate a spouse, covered dependents, or beneficiaries for their VantageCare Retirement Health Savings Plan.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
64 Votes

People Also Ask about

What is a Retiree Health Savings Plan (RHS)? An RHS is an employer-sponsored tax-exempt medical benefit plan through which you can get reimbursed tax-free for your eligible out-of-pocket medical or dental expenses (i.e., expenses that are not paid for by insurance or any other benefit plan).
A retirement letter is a formal written correspondence that informs your employer of your intention to retire. This is similar to a letter of resignation, which lets your employer know that you're quitting your job.
Retirement Health Savings (RHS) Accounts.
Retirement Health Savings Plan (RHS)
The Rural Housing Service (RHS) provides loans directly to low-income borrowers in rural areas and guarantees loans provided by approved lenders. An RHS loan can help a borrower who otherwise might not qualify for a traditional mortgage because of low income or bad credit to buy a home in an approved rural area.
A Retiree Health Savings Account (RHS) is an employer paid tax-advantage savings and investing vehicle used to help you pay for your future health-care costs.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The City of Anaheim VantageCare Retirement Health Savings (RHS) Plan Spouse, Covered Dependent, and Beneficiary Designation Form is a document used to designate a spouse, covered dependents, and beneficiaries for benefits related to the RHS Plan.
Employees participating in the City of Anaheim VantageCare RHS Plan are required to file this form to officially designate their beneficiaries and covered dependents.
To fill out the form, participants should provide their personal information, specify their beneficiaries and covered dependents, and ensure all sections are completed accurately before submitting it to the appropriate department.
The purpose of the form is to ensure that participants can designate who will receive their benefits in the event of their death and to identify covered dependents eligible for health savings.
The information required includes the participant's name, address, contact information, the names and relationships of designated beneficiaries, and details on covered dependents.
Fill out your city of anaheim vantagecare online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.