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MEMBER BENEFITS TRUST 2015 2016 OPTIONAL INSURANCE APPLICATION MEMBER NAME: BCP #: GREEN SHIELD #: 2015 2016 CLASS LEVEL: DEPENDENT INFORMATION (IF APPLICABLE) NAME BIRTHDATE RELATIONSHIP TO MEMBER
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How to fill out member benefits trust 20152016:

01
Obtain the necessary forms from your employer or the organization administering the trust.
02
Read through the instructions carefully before filling out the forms.
03
Provide your personal information, including your full name, address, and contact details.
04
Indicate your membership status, such as whether you are an active employee or a retiree.
05
Specify the date you became eligible for the member benefits trust.
06
If applicable, provide information about your spouse or dependents who are covered under the trust.
07
Fill out any sections regarding your employment history, including your start and end dates with the company, job title, and any pension or retirement plans you may have.
08
Review the sections related to contribution amounts, such as your monthly or annual contributions to the trust.
09
Check if there are any additional documents or supporting information required, such as proof of marriage or birth certificates for dependents.
10
Once you have completed all the necessary sections, double-check your entries for accuracy and completeness.
11
Sign and date the forms as required.
12
Submit the filled-out forms to the designated individual or department responsible for processing the member benefits trust.

Who needs member benefits trust 20152016?

01
Employees who are eligible for member benefits provided by their company or organization.
02
Retirees who are receiving pension or retirement benefits from their former employer.
03
Dependents of eligible employees or retirees who are covered under the member benefits trust.
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Member benefits trust 20152016 is a trust established to provide benefits to members of a particular group or organization.
Employers or organizations that establish a member benefits trust are required to file the necessary documentation.
To fill out member benefits trust 20152016, you will need to provide detailed information about the trust, its beneficiaries, and its assets.
The purpose of member benefits trust 20152016 is to provide benefits to the members of a specific group or organization, such as healthcare coverage or retirement savings.
Information that must be reported on member benefits trust 20152016 includes details about the trust's assets, distributions, and beneficiaries.
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