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2017 FLEXIBLE BENEFIT ELECTION FORM Employee Name Please Print Preferred Phone # PSU ID # HEALTH CARE REIMBURSEMENT ACCOUNT Outofpocket medical, dental, and vision expense for faculty staff and dependents.
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How to fill out 2017 flexible benefit election

How to fill out 2017 flexible benefit election
01
Gather all the necessary documents and information required to fill out the 2017 flexible benefit election form.
02
Start by entering your personal details such as name, employee ID, and contact information.
03
Carefully review the different options available for flexible benefits and choose the ones that best fit your needs.
04
Fill in the requested information for each selected benefit, following the provided instructions.
05
Be sure to double-check all the entered information for accuracy before submitting the form.
06
If you have any questions or need assistance, reach out to your HR department or benefits administrator.
07
Submit the completed and signed 2017 flexible benefit election form by the deadline provided.
Who needs 2017 flexible benefit election?
01
Any employee who is eligible for flexible benefits and wants to make selections for the year 2017.
02
Employees who want to take advantage of the various benefits offered through the flexible benefit program.
03
Those who experienced life events, such as marriage, childbirth, or adoption, and need to adjust their benefit elections accordingly.
04
Employees who want to review and update their current benefit selections for the upcoming year.
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What is flexible benefit election form?
The flexible benefit election form is a document that allows employees to choose their preferred benefits options from a selection provided by their employer.
Who is required to file flexible benefit election form?
All employees who are eligible for flexible benefits provided by their employer are required to file a flexible benefit election form.
How to fill out flexible benefit election form?
To fill out a flexible benefit election form, employees must carefully review the options available to them, consider their needs and preferences, and indicate their selections on the form.
What is the purpose of flexible benefit election form?
The purpose of the flexible benefit election form is to allow employees to customize their benefits package according to their individual needs and preferences.
What information must be reported on flexible benefit election form?
Employees must report their chosen benefits options, such as health insurance plans, retirement savings accounts, and other available benefits, on the flexible benefit election form.
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