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Currency Advantageous Election Worksheet How much should I contribute? When deciding how much to set aside for next year's medical expenses, think about the following: Does anyone in your family have
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How to fill out Surency AdvantagePlus Election Worksheet:

01
Start by reviewing the Surency AdvantagePlus Election Worksheet document. Take some time to familiarize yourself with the sections and categories mentioned in the worksheet.
02
Begin filling out the worksheet by providing your personal information. This typically includes your name, address, date of birth, and contact details. Make sure to double-check the accuracy of the information before moving on to the next section.
03
The next step involves selecting the dental, vision, and hearing benefits you wish to enroll in or modify. Review the available options and check the boxes that correspond to the benefits you want. You may also need to indicate whether you are making changes to your current coverage or adding new coverage.
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Additionally, the worksheet may include sections related to dependents. If you have eligible dependents, provide their information and indicate the benefits they should receive. This may include dental, vision, or hearing coverage.
05
Take some time to consider any flexible spending or health savings account options that may be offered alongside the Surency AdvantagePlus plan. If applicable, make selections based on your personal needs and preferences.
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Once you have completed all relevant sections of the worksheet, review your answers carefully. Ensure that you have filled out all the required fields accurately. Mistakes or missing information could lead to complications later on.
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After reviewing your responses, sign and date the worksheet. This serves as confirmation that the information provided is accurate to the best of your knowledge.

Who needs Surency AdvantagePlus Election Worksheet:

01
Individuals who are enrolled in the Surency AdvantagePlus plan and wish to make changes to their current coverage or add new coverage.
02
New employees who are eligible for the Surency AdvantagePlus plan and need to enroll in dental, vision, and hearing benefits.
03
Dependents of participants in the Surency AdvantagePlus plan who require coverage for dental, vision, or hearing services.
04
Individuals who want to explore flexible spending or health savings account options associated with the Surency AdvantagePlus plan.
Remember that the Surency AdvantagePlus Election Worksheet is a critical document for managing your dental, vision, and hearing benefits. By carefully filling out the worksheet and providing accurate information, you can ensure that you receive suitable coverage for your needs.
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The Surency AdvantagePlus Election Worksheet is a document used to elect or make changes to your employee benefits.
All employees eligible for Surency AdvantagePlus benefits are required to file the election worksheet.
The Surency AdvantagePlus Election Worksheet can be filled out online or through a paper form provided by the employer.
The purpose of the Surency AdvantagePlus Election Worksheet is to document the benefits selected by the employee for the upcoming year.
The worksheet must include the employee's personal information, dependents, benefit selections, and any changes to previous elections.
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