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4F New Enrollment Change in Family Status Personnel ID#: MONROE COUNTY CAFETERIA/FLEXIBLE BENEFITS PROGRAM 2008 ENROLLMENT FORM EMPLOYEE INFORMATION (Please Print) Employee Name: Employee Social Security
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The flexible benefits enrollment form is a document that allows employees to select and enroll in various benefits offered by their employer, such as health insurance, retirement plans, and paid time off.
All employees who are eligible for benefits offered by their employer are required to file a flexible benefits enrollment form.
To fill out a flexible benefits enrollment form, employees need to provide their personal information, such as name, address, and social security number, and choose the benefits they wish to enroll in.
The purpose of the flexible benefits enrollment form is to allow employees to make choices about the benefits they want to receive and ensure that they are enrolled in the appropriate programs.
The flexible benefits enrollment form requires employees to report their personal information, such as name, address, and social security number, as well as their chosen benefits.
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