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CITY OF NORFOLK BENEFIT SELECTION FORM PERMANENT EMPLOYEE Coverage for the period October 1, 2012, September 30, 2013, OPTION 1 HEALTH CARE (Elect or Change, you must attach Medical Plan Enrollment
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How to fill out by2013 benefit selection form

How to fill out the by2013 benefit selection form:
01
Start by gathering all the necessary information such as your personal details, employment information, and any dependents you may have.
02
Carefully read through the instructions on the form to understand the different sections and requirements.
03
Begin filling out the form by entering your name, address, contact information, and Social Security number in the designated fields.
04
Provide accurate details about your employment status, including information about your employer and the duration of your employment.
05
In case you have any dependents, ensure to accurately enter their information, including their names and Social Security numbers.
06
Move on to the next section of the form, which may require you to make selections regarding your benefit options. Take your time to review each option and choose the ones that best fit your needs.
07
If there are any additional sections on the form, make sure to complete them thoroughly and accurately.
08
Lastly, review the entire form to double-check for any errors or missing information. Make any necessary corrections before submitting the form.
Who needs the by2013 benefit selection form?
01
Employees who are eligible for benefits through their employer.
02
Individuals who wish to make changes to their existing benefits or enroll in new benefit programs.
03
Those who have experienced a change in their employment status and need to update their benefit information.
04
Individuals who have dependents and want to add or make changes to their dependent coverage.
05
Anyone who needs to make decisions regarding their employee benefits, such as healthcare plans, retirement plans, or life insurance.
Overall, anyone who is eligible for employee benefits and wants to make appropriate selections or changes should fill out the by2013 benefit selection form.
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What is by2013 benefit selection form?
The by2013 benefit selection form is a document used to choose employee benefits for the year 2013.
Who is required to file by2013 benefit selection form?
All employees eligible for benefits must file the by2013 benefit selection form.
How to fill out by2013 benefit selection form?
Employees can fill out the by2013 benefit selection form by providing their personal information and selecting the benefits they wish to enroll in.
What is the purpose of by2013 benefit selection form?
The purpose of the by2013 benefit selection form is to allow employees to choose the benefits they want for the year 2013.
What information must be reported on by2013 benefit selection form?
The by2013 benefit selection form must include personal information such as name, address, and social security number, as well as benefit selections.
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