Get the free SISC Plan Election Form 2010-11.xls - cabrillo

Cabrillo College Plan Election Form Effective October 1, 2010, employees may choose between three (3) Blue Shield PPO plans and two (2) Blue Shield HMO plans offered through Self Insured Schools of

How to fill out sisc plan election form

How to fill out sisc plan election form:

1. Obtain the form: The sisc plan election form can usually be obtained from your employer or human resources department. If you cannot find the form, you can inquire with your employer about where to access it.
2. Read the instructions: Before you start filling out the form, make sure to carefully read the instructions provided. Understanding the guidelines will help you correctly complete the form and avoid any errors.
3. Provide personal information: The form will usually require you to provide your full name, employee identification number, contact information, and other personal details. Fill in this information accurately and ensure that all relevant fields are completed.
4. Review plan options: The form will list different plan options for you to choose from. Take the time to review and understand each option, including the coverage and associated costs. You may need to consider factors such as deductibles, copayments, and network providers when making your decision.
5. Select your plan: Once you have reviewed the available plan options, choose the one that best suits your needs. Indicate your preferred plan by selecting the corresponding box or writing in your choice as instructed.
6. Add dependents if necessary: If you have dependents who will be covered under your plan, the form may require you to list their names, ages, and other relevant information. Follow the instructions provided to ensure accurate completion.
7. Sign and date the form: To validate your selections and affirm that the information provided is true and accurate, sign and date the necessary sections of the form. Make sure to sign using your legal signature.

Who needs sisc plan election form:

1. Employees: The sisc plan election form is typically required for employees who are eligible to enroll in a benefits plan provided by their employer. This form allows employees to select the plan that best suits their needs and indicate any dependents they wish to cover.
2. Retirees: In some cases, retirees may also need to complete a sisc plan election form to enroll in or make changes to their benefits plan. It is important for retirees to consult with their former employer or benefits administrator to determine if this form is necessary.
3. Eligible dependents: Dependents who will be covered under an employee's benefits plan may need to be listed on the sisc plan election form. This ensures that they are included in the plan and can receive the appropriate coverage.

Note: The specific requirements for who needs to complete the sisc plan election form may vary depending on the employer's policies and the type of benefits plan being offered. It is always advisable to consult with the employer or benefits administrator for accurate information.

For pdfFiller’s FAQs

What is sisc plan election form?

The sisc plan election form is a document used to choose or make changes to retirement plan options offered by the State of Illinois Department of Central Management Services (CMS) for State employees and retirees.

Who is required to file sisc plan election form?

All eligible State employees and retirees are required to file the sisc plan election form to select or change their retirement plan options.

How to fill out sisc plan election form?

The sisc plan election form can be filled out online through the CMS MyBenefits website or by submitting a paper form to the CMS Benefits Administration Unit.

What is the purpose of sisc plan election form?

The purpose of the sisc plan election form is to allow State employees and retirees to choose or modify their retirement plan options to best suit their individual needs.

What information must be reported on sisc plan election form?

The sisc plan election form requires personal identification information, current retirement plan selection, desired plan changes (if any), and beneficiary designation.

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