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This document outlines the terms, conditions, and procedures for enrolling in the Secure Choice Individual Prepaid Dental Plan provided by Assurant Employee Benefits. It includes information on copayments,
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How to fill out secure choice individual plan

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How to fill out Secure Choice Individual Plan Application

01
Obtain the Secure Choice Individual Plan Application form from the official website or your local office.
02
Read the instructions carefully to understand the required information.
03
Fill out your personal information, including your name, address, and contact details.
04
Provide details about your financial situation, including income and expenses.
05
Indicate your retirement goals and desired contributions to the Secure Choice plan.
06
Review the entire application for any errors or missing information.
07
Submit the completed application form through the designated method (online or mail).
08
Keep a copy of your application for your records.

Who needs Secure Choice Individual Plan Application?

01
Individuals who are self-employed or do not have access to a retirement plan through their employer.
02
Workers who wish to save for retirement but lack a structured retirement savings plan.
03
People seeking to enhance their financial security during retirement.
04
Those looking for a simple and approachable way to start saving for retirement.
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Businesses are required to participate in Secure Choice if they: Have been in operation for at least two years. Employed five or more people in every quarter of the previous year.
You and your parent(s) must continue to be Illinois residents. Your total family income must be $82,500 or less (effective fall 2025). Your total family assets must be $75,000 or less (effective fall 2025). You must be making Satisfactory Academic Progress (SAP) toward your degree.
Who can get an Illinois Link Card? Anyone approved to receive cash assistance or SNAP (Food Stamps) benefits will be issued an Illinois Link card. The Illinois Link card is a plastic card that looks and works like a debit card. If you are eligible for cash and SNAP benefits, you will access both with the same card.
About New York Secure Choice This new program provides an easy way for employees working in New York State to save for the future and is simple for employers to facilitate. Through automatic enrollment and payroll deduction, savers can contribute to Roth Individual Retirement Accounts (IRAs).
You can withdraw your contributions at any time online or by completing a distribution request. 1 Consult with a qualified tax advisor to discuss your particular circumstances. For more detailed information about your Illinois Secure Choice account, go to the Program Details page.
ELIGIBILITY. Not all employers are eligible. Only private-sector employers who do not offer a qualified retirement plan, had at least five employees in every quarter of the previous calendar year, and have been in business for at least two years must facilitate Illinois Secure Choice.
You must have a High School Diploma or General Education Development (GED) High School Equivalency Diploma. You must be working toward a degree or certificate. You may not be in default on any federal educational loans or owe a refund on a federal grant. You must be making Satisfactory Academic Progress.

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The Secure Choice Individual Plan Application is a form used to enroll individuals in the Secure Choice Retirement Savings Program, designed to help employees save for retirement, especially those who do not have access to an employer-sponsored retirement plan.
Individuals who are self-employed or work for employers that do not offer a retirement savings plan are required to file the Secure Choice Individual Plan Application to participate in the program.
To fill out the Secure Choice Individual Plan Application, an individual needs to provide personal information such as name, address, date of birth, Social Security number, and any other relevant financial information as prompted in the application form.
The purpose of the Secure Choice Individual Plan Application is to facilitate enrollment in a state-sponsored retirement savings program that encourages individuals to save for retirement, thus promoting financial security in their later years.
The information required on the Secure Choice Individual Plan Application includes personal identification details, employment information, income levels, and any other pertinent financial information necessary to assess eligibility and process enrollment.
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