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SECTION 125 ELECTION FORM Fax to 8778287319 or email to payroll jagprof.com PARTICIPANT INFORMATION Please check if this is a new address Participants Social Security #: Name: (Last) (First) Street:
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How to fill out section 125 election form
How to fill out section 125 election form:
01
Obtain the section 125 election form from your employer or human resources department. It is typically provided during open enrollment periods or when you become eligible for benefits.
02
Start by providing your personal information, such as your full name, address, Social Security number, and employee identification number (if applicable). Make sure to double-check the accuracy of the information provided.
03
Read the instructions carefully to understand the various sections of the form. It is important to comprehend the available options and the impact they could have on your benefits and taxes.
04
Determine the type of benefits you wish to elect under section 125, such as medical insurance, dental insurance, flexible spending accounts, or health reimbursement arrangements. Check the appropriate boxes or write in the desired options.
05
If you are opting for a flexible spending account (FSA), specify the amount you want to contribute annually. FSAs allow you to set aside pre-tax dollars to cover eligible medical or dependent care expenses, so it is important to determine an appropriate contribution amount.
06
Review the form for accuracy and completeness. Make sure all the required fields are filled out correctly. If any information is missing or incorrect, reach out to your employer or HR department for clarification or assistance.
07
Sign and date the form to certify that the information provided is accurate to the best of your knowledge. Your spouse or dependent may also need to sign the form if necessary.
08
Return the completed form to your employer or HR department within the designated timeframe. Ensure that you keep a copy of the form for your records.
Who needs section 125 election form?
01
Employees who are eligible for benefits through their employer typically need to fill out a section 125 election form. This includes full-time, part-time, and sometimes even temporary or seasonal employees.
02
Individuals who wish to elect or make changes to their benefits, such as medical insurance, dental insurance, flexible spending accounts, or health reimbursement arrangements, will need to complete this form.
03
The section 125 election form enables employees to select their benefit options and determine the amount of pre-tax contributions they want to allocate towards certain benefit plans. It is essential for individuals who want to take advantage of the tax-saving aspects provided by section 125 plans.
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What is section 125 election form?
Section 125 election form is a form used by employees to choose between cash pay and certain nontaxable benefits, such as health insurance, under a cafeteria plan.
Who is required to file section 125 election form?
Employees who wish to participate in a cafeteria plan and choose between taxable and nontaxable benefits are required to file a section 125 election form.
How to fill out section 125 election form?
To fill out a section 125 election form, employees must provide their personal information, select the benefits they wish to receive, and sign the form.
What is the purpose of section 125 election form?
The purpose of section 125 election form is to allow employees to make tax-efficient choices regarding their compensation and benefits.
What information must be reported on section 125 election form?
Information such as employee personal details, benefit selections, and signature must be reported on the section 125 election form.
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