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20122013 Employee Benefit Election Form Employee Names: Today's Date: Years of Service (3+Years) Please indicate your selection by circling the plan amount Weekly Payroll Deduction Blue Cross / Blue
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How to fill out 2012-2013 employee benefit election

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How to fill out 2012-2013 employee benefit election:

01
Begin by reviewing the instructions provided with the employee benefit election form.
02
Take note of any deadlines mentioned for submitting the form.
03
Start by filling out your personal information, such as your name, employee ID, and contact details.
04
Proceed to the section where you can choose the specific benefits you wish to elect for the year 2012-2013.
05
Carefully read through the options available and select the ones that best suit your needs.
06
Pay attention to any required contributions or costs associated with each benefit and indicate your choices accordingly.
07
If there are any sections that require additional information or documentation, ensure that you provide the necessary details.
08
Double-check all the information you have entered on the form to ensure accuracy.
09
If you have any questions or need clarification on any aspect of the form, reach out to the appropriate HR representative or department.
10
Once you have filled out all the necessary sections, sign and date the form, confirming your choices and agreement with the information provided.

Who needs 2012-2013 employee benefit election:

01
All employees who are eligible for benefits in the year 2012-2013 need to complete the employee benefit election.
02
This includes both full-time and part-time employees who are offered benefits by their employer.
03
It is important to fill out the employee benefit election form to indicate your choices and preferences for the available benefits. This ensures that you receive the desired benefits and that the necessary deductions or contributions are made from your paycheck accordingly.
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