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This form is used for annual enrollment in health benefits for employees of CenturyLink, including medical, dental, and vision plans, as well as life insurance options.
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How to fill out 2011 annual enrollment election
How to fill out 2011 ANNUAL ENROLLMENT ELECTION FORM - LTD
01
Obtain the 2011 Annual Enrollment Election Form - LTD from your HR department or the company's benefits portal.
02
Read the instructions carefully to understand the process and requirements for completion.
03
Fill out your personal information at the top of the form, including your full name, employee ID, and contact information.
04
Indicate your enrollment choices by checking the appropriate boxes for long-term disability coverage options.
05
Provide any additional information required, such as dependent information if applicable.
06
Review the form to ensure all information is accurate and complete.
07
Sign and date the form at the designated section to certify your enrollment choices.
08
Submit the completed form to your HR department before the enrollment deadline.
Who needs 2011 ANNUAL ENROLLMENT ELECTION FORM - LTD?
01
Employees who are eligible for long-term disability insurance provided by their employer.
02
Individuals who wish to enroll or make changes to their long-term disability coverage for the year 2011.
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What is 2011 ANNUAL ENROLLMENT ELECTION FORM - LTD?
The 2011 Annual Enrollment Election Form - LTD is a document used by employees to select or modify their long-term disability (LTD) insurance coverage for the year 2011.
Who is required to file 2011 ANNUAL ENROLLMENT ELECTION FORM - LTD?
Employees who wish to enroll in, change, or maintain their long-term disability insurance coverage for the year 2011 are required to file the form.
How to fill out 2011 ANNUAL ENROLLMENT ELECTION FORM - LTD?
To fill out the form, employees should provide their personal information, select their desired coverage options, and sign the form to confirm their choices.
What is the purpose of 2011 ANNUAL ENROLLMENT ELECTION FORM - LTD?
The purpose of the form is to allow employees to make informed decisions regarding their long-term disability insurance options and ensure their coverage meets their needs for the year.
What information must be reported on 2011 ANNUAL ENROLLMENT ELECTION FORM - LTD?
The form must report personal identification details, the coverage selections made by the employee, any dependents covered, and the necessary signatures.
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