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Get the free BENEFIT CONTINUATION DURING MILITARY LEAVE Election Form - ci lathrop ca

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This form is used by employees to elect to continue their benefits during a military leave of more than one month.
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How to fill out benefit continuation during military

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How to fill out BENEFIT CONTINUATION DURING MILITARY LEAVE Election Form

01
Obtain the BENEFIT CONTINUATION DURING MILITARY LEAVE Election Form from your HR department or company website.
02
Review the instructions provided on the form carefully.
03
Fill out your personal information, including your name, address, and employee ID.
04
Indicate your military service details, including the dates of your active duty.
05
Choose the benefits you wish to continue during your military leave (e.g., health insurance, dental insurance).
06
Provide any necessary documentation as required by the form.
07
Sign and date the form to confirm your election.
08
Submit the completed form to your HR department or the designated office according to the instructions.

Who needs BENEFIT CONTINUATION DURING MILITARY LEAVE Election Form?

01
Any employee who is called to active military duty and wishes to maintain their benefits during their absence.
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The BENEFIT CONTINUATION DURING MILITARY LEAVE Election Form is a document that allows service members to elect to continue their employment benefits while on military leave, ensuring they maintain coverage for health insurance and other benefits.
Service members who are called to active duty and wish to maintain their benefits during their military leave are required to file the BENEFIT CONTINUATION DURING MILITARY LEAVE Election Form.
To fill out the form, service members should provide their personal information, military service details, and specify which benefits they wish to continue during their leave. They should follow the instructions provided on the form carefully.
The purpose of the form is to inform employers of a service member's choice to continue existing benefits during their military leave, ensuring that there is no lapse in coverage while they are away.
The form must include the service member's name, contact information, details about their military service, the type of benefits they wish to continue, and any other required information as specified in the form's guidelines.
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