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All plans offered and underwritten by Kaiser Foundation Health Plan oftheNorthwest. 500 NE Multnomah St., Suite 100, Portland, OR 97232. 3in1 Employee Benefit Designation Form Group name: Group number:
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How to fill out 3-in-1 employee benefit designation

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How to fill out 3-in-1 employee benefit designation:

01
Start by obtaining the necessary form from your employer or HR department. This form is usually provided when you first join the company or when you become eligible for employee benefits.
02
Read through the instructions provided on the form carefully to understand what information is required and how to fill it out correctly.
03
Begin by providing your personal information, such as your full name, employee identification number, and contact details.
04
Next, indicate your beneficiary designation for each of the three types of employee benefits - life insurance, retirement savings, and health insurance.
05
For life insurance, specify the beneficiary who will receive the benefits in the event of your death. You may need to provide their full name, relationship to you, and contact information.
06
For retirement savings, indicate the percentage or amount you wish to contribute to your retirement account, if applicable. If you have an existing retirement account, you may need to provide account details.
07
Finally, for health insurance, select the suitable coverage option from the choices provided, such as individual or family coverage. You may also need to provide additional information, such as the names of dependents to be covered.
08
Once you have completed filling out the form, review it carefully to ensure all information is accurate and complete.
09
Sign and date the form to certify that the information provided is true and accurate.
10
Submit the completed form to your employer or HR department as instructed. Keep a copy of the form for your records.

Who needs 3-in-1 employee benefit designation?

01
Employees who are eligible for employee benefits provided by their company.
02
Individuals who want to designate their beneficiaries for life insurance, retirement savings, and health insurance.
03
Employees who want to review and update their current benefit designations.
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The 3-in-1 employee benefit designation is a form used by employers to designate the benefits they offer to their employees in terms of health insurance, retirement plans, and other benefits.
Employers who offer benefits to their employees are required to file the 3-in-1 employee benefit designation form.
Employers need to provide information about the health insurance options, retirement plans, and other benefits they offer to their employees on the 3-in-1 employee benefit designation form.
The purpose of the 3-in-1 employee benefit designation is to allow employers to communicate the benefits they offer to their employees in a clear and concise manner.
Employers must report information about the health insurance options, retirement plans, and other benefits they offer to their employees on the 3-in-1 employee benefit designation form.
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