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2016 Benefits Election Form **To newly enroll or to make changes for 2016, you must complete each section** TYPE OF ENROLLMENT New Enrollment Open Enrollment Division: LEGACY Custodial Change Reason
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How to fill out 2016 benefits election form

How to fill out 2016 benefits election form
01
Make sure you have the 2016 benefits election form.
02
Read the instructions on the form carefully.
03
Fill out your personal information, such as your name, address, and employee identification number.
04
Review the available benefit options and select the ones that best suit your needs.
05
Indicate your choices by marking the appropriate boxes or providing the necessary information.
06
Pay attention to any deadlines and submission instructions mentioned on the form.
07
Double-check your form to ensure all required fields are completed accurately.
08
Sign and date the form to certify its authenticity.
09
Submit the filled-out form to the designated department or person as instructed.
10
Keep a copy of the form for your records.
Who needs 2016 benefits election form?
01
Employees who are eligible for benefits from their employer
02
Individuals who want to make changes to their benefit elections for the year 2016
03
New hires who need to enroll in company benefits
04
Employees who experienced qualifying life events and need to update their benefit elections
05
Individuals who want to review and potentially revise their existing benefit selections
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What is benefits election form?
Benefits election form is a document that allows employees to choose their benefits such as health insurance, retirement plans, and other employee benefits.
Who is required to file benefits election form?
All employees who are eligible for benefits must file a benefits election form.
How to fill out benefits election form?
Employees can fill out the benefits election form either online or on paper, following the instructions provided by their employer.
What is the purpose of benefits election form?
The purpose of benefits election form is to allow employees to select the specific benefits they want to enroll in or change during the open enrollment period.
What information must be reported on benefits election form?
Employees must report their personal information, dependent information, benefit choices, and any other required details on the benefits election form.
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