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01/01/2013 2013 BENEFIT ELECTION FORM Effective Date EMPLOYEE INFORMATION Last Name First Name Social Security Number & Date of Birth Address / City / State / Zip Phone # I do not wish to make any
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How to fill out 2013 benefit election form

How to fill out 2013 benefit election form:
01
Start by carefully reading the instructions provided with the form. This will help you understand the purpose and requirements of the form.
02
Begin filling out the form by providing your personal information such as your name, address, and contact details. Ensure that all the information is accurate and up-to-date.
03
Move on to the section where you need to select the benefits you want to elect for the year 2013. This may include health insurance, retirement plans, flexible spending accounts, and other benefits offered by your employer.
04
Take your time to carefully review the benefit options available and consider your specific needs and circumstances. This will help you make informed decisions while selecting the benefits.
05
If the form requires you to indicate your beneficiary information for certain benefits, ensure that you provide accurate details. This may include the name, relationship, and contact information of your chosen beneficiary.
06
Double-check all the entries you have made on the form to minimize errors. Errors or incorrect information can cause delays in processing or even lead to complications.
07
Once you have completed filling out the form, review it again to make sure everything is accurate and complete. Sign and date the form as required.
08
Submit the completed form to the designated department or individual responsible for benefits administration. Make sure to keep a copy of the form for your records.
Who needs 2013 benefit election form?
01
Employees who are eligible for benefits through their employers may need to fill out the 2013 benefit election form.
02
Individuals who want to select and enroll in specific benefits for the year 2013 will need to complete this form as per their employer's requirements.
03
Those who wish to make changes to their existing benefit elections or update their beneficiary information may also need to use the 2013 benefit election form as a means to do so.
Please note that the specific requirements and processes for filling out the 2013 benefit election form may vary depending on your employer and the specific benefits offered. It is important to refer to the instructions provided with the form and seek guidance from your employer's benefits department, if needed.
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