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FLEXIBLE BENEFITS PLAN ENROLLMENT AND PAYROLL REDUCTION AUTHORIZATION FORM Please complete the following information accurately and completely with a ballpoint pen; print clearly. The information
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Flexible benefits plan enrollment is the process where employees can choose from a range of different benefits options offered by their employer.
Employees who are eligible for the flexible benefits plan offered by their employer are required to file flexible benefits plan enrollment.
Employees can typically fill out flexible benefits plan enrollment online through a secure portal provided by their employer, or by submitting a paper form.
The purpose of flexible benefits plan enrollment is to allow employees to select the benefits that best suit their individual needs and preferences.
Employees may be required to report information such as their dependent's information, desired coverage levels, and beneficiary designations on flexible benefits plan enrollment.
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