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This form is used for enrolling in the Flex Cash program at California State University, Fresno Association, Inc., allowing employees to choose cash options in lieu of medical and dental insurance.
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How to fill out flex cash enrollment form

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How to fill out Flex Cash Enrollment Form

01
Obtain the Flex Cash Enrollment Form from your employer or the HR department.
02
Fill out your personal information, including your name, employee ID, and contact details.
03
Select the appropriate option for your Flex Cash preference, if applicable.
04
Provide any documentation required to support your enrollment, such as proof of other health coverage.
05
Review the completed form for accuracy.
06
Submit the form by the specified deadline to the HR department.

Who needs Flex Cash Enrollment Form?

01
Employees who wish to opt for cash benefits instead of certain health coverage options.
02
Employees who are eligible for the Flex Cash program as designated by their employer.
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The Flex Cash Enrollment Form is a document used by certain organizations to allow employees to choose between receiving cash or enrolling in a flexible benefits program.
Employees who wish to opt for cash instead of enrolling in a flexible benefits program are required to file the Flex Cash Enrollment Form.
To fill out the Flex Cash Enrollment Form, employees should provide personal information, choose their preferred option (cash or benefits), and submit the form to their HR department within the designated enrollment period.
The purpose of the Flex Cash Enrollment Form is to facilitate employee choice between cash compensation and benefits under a flexible benefits plan.
The Flex Cash Enrollment Form typically requires employees to provide their name, employee ID, selection of cash or benefits, and possibly other personal details and consent.
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