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2 0 1 6 Op e n Enrollment Material 2016 GAFF Waiver of Health Insurance Form In accordance with the terms of the City of Dayton Premium Only Plan, you may waive coverage under the City of Dayton Group
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Begin by filling out the personal information section of the form, which may include your full name, address, contact information, and social security number. Make sure to provide accurate and up-to-date information.
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Move on to the employment details section where you will need to provide information about your current or former employment with the International Association of Fire Fighters (IAFF). This may include your job title, department, dates of employment, and any other relevant details.
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Members of the International Association of Fire Fighters (IAFF) who are eligible for the 2016 benefit program may require this form. This includes firefighters, emergency medical personnel, and other eligible members of the IAFF.
02
Individuals who have experienced a qualifying event such as an injury, illness, or disability that requires assistance or benefits provided by the IAFF may need to fill out this form.
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Family members or dependents of eligible IAFF members who are entitled to the 2016 iaff - benefit program may also need to complete this form to receive the appropriate benefits or services.
Note: It is important to consult the IAFF or the specific guidelines provided for the 2016 iaff - benefit to determine if you are eligible and if this form is necessary for your particular situation.
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IAFF - Benefit Snapshot is a summary report that provides an overview of the benefits available to IAFF members.
All IAFF members are required to file the IAFF - Benefit Snapshot.
IAFF members can fill out the IAFF - Benefit Snapshot online through the IAFF website or by contacting their local IAFF representative for assistance.
The purpose of the IAFF - Benefit Snapshot is to help IAFF members understand and make the most of the benefits available to them.
The IAFF - Benefit Snapshot must include information on health insurance, retirement plans, disability coverage, and other benefits available to IAFF members.
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