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Short Enrollment Request Form Name of Plan You are Enrolling In: Name: Medicare Number: (Note: may use member number instead of Medicare number) Date of Birth: Home Phone Number: Permanent Street
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What is name of plan you?
Name of plan could be 401(k) or pension plan.
Who is required to file name of plan you?
Employers who offer retirement plans are required to file the name of the plan.
How to fill out name of plan you?
The name of the plan can be filled out on IRS Form 5500.
What is the purpose of name of plan you?
The purpose of naming the plan is to identify the specific retirement plan being offered by the employer.
What information must be reported on name of plan you?
The name of the plan as it is commonly known by participants must be reported.
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