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The Benefit Selection Form is designed for members of the Motion Picture Industry Health Plan to update their personal contact information and select dental and medical plan coverage for themselves

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What is benefit selection form 1-3-pub?

Benefit selection form 1-3-pub is a document used to choose specific benefits for employees.

Who is required to file benefit selection form 1-3-pub?

All employees who are eligible for benefits must file benefit selection form 1-3-pub.

How to fill out benefit selection form 1-3-pub?

To fill out benefit selection form 1-3-pub, you need to provide personal information, select desired benefits, and sign the form.

What is the purpose of benefit selection form 1-3-pub?

The purpose of benefit selection form 1-3-pub is to allow employees to choose the benefits that best suit their needs and preferences.

What information must be reported on benefit selection form 1-3-pub?

Information such as employee name, employee ID, desired benefits selections, and signature must be reported on benefit selection form 1-3-pub.

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