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This document serves as an order form for the 2013 Specialty Flex Plan, offering vouchers for games and a t-shirt, along with payment instructions.
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How to fill out 2013 specialty flex plan
How to fill out 2013 Specialty Flex Plan Order Form
01
Obtain the 2013 Specialty Flex Plan Order Form from the official website or your HR department.
02
Fill in your personal information at the top of the form, including your name, employee ID, and contact information.
03
Indicate your preferred flex plan options by checking the appropriate boxes.
04
Specify the amounts you wish to allocate for each selected plan.
05
Review any eligibility guidelines provided on the form to ensure your selections are valid.
06
Sign and date the form at the bottom to certify the information provided.
07
Submit the completed form to the designated HR representative or department as instructed.
Who needs 2013 Specialty Flex Plan Order Form?
01
Employees eligible for the Specialty Flex Plan who want to customize their benefits for the 2013 plan year.
02
Individuals looking to maximize their benefits through flex spending options for healthcare or dependent care.
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What is 2013 Specialty Flex Plan Order Form?
The 2013 Specialty Flex Plan Order Form is a document used by participants to enroll in and manage their selections within a specialized flexible benefits plan for the year 2013.
Who is required to file 2013 Specialty Flex Plan Order Form?
Employees who wish to participate in the 2013 Specialty Flex Plan and those who wish to make changes to their existing elections are required to file the 2013 Specialty Flex Plan Order Form.
How to fill out 2013 Specialty Flex Plan Order Form?
To fill out the 2013 Specialty Flex Plan Order Form, participants should provide personal information, select desired benefits, and sign the form to confirm their choices.
What is the purpose of 2013 Specialty Flex Plan Order Form?
The purpose of the 2013 Specialty Flex Plan Order Form is to facilitate the enrollment of employees in flexible benefit options, allowing them to tailor their benefits to meet individual needs.
What information must be reported on 2013 Specialty Flex Plan Order Form?
The information that must be reported includes the participant's name, employee identification number, selected benefits, and any dependents or beneficiaries associated with the plan.
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