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2016 Benefits Election Form 2016, **To newly enroll or to make changes for 2016, you must complete each section** TYPE OF ENROLLMENT New Enrollment Open Enrollment Change Reason Division: LEGACY Teacher

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What is election change form -legacy?

The election change form -legacy is a document used to make changes to a previous election choice.

Who is required to file election change form -legacy?

Any individual who needs to make changes to their election choice from a previous period is required to file the election change form -legacy.

How to fill out election change form -legacy?

The election change form -legacy can be filled out by providing the required information such as the individual's name, employee ID, previous election choice, and the changes being made.

What is the purpose of election change form -legacy?

The purpose of the election change form -legacy is to allow individuals to update their previous election choice and make necessary changes.

What information must be reported on election change form -legacy?

The election change form -legacy must include the individual's name, employee ID, previous election choice, and the changes being made.

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