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2018 Opt-out Incentive Waiver Form Employee Name (please print): Department: I elect the Opt-out Incentive for the 2018 health plan year because my tax dependents and I will have minimum essential
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Opt-out incentive is a payment or benefit offered to individuals in exchange for choosing not to participate in a certain program or service.
The entity or organization offering the opt-out incentive is usually required to file it.
To fill out an opt-out incentive, detailed information about the offered payment or benefit, the purpose of the incentive, and any related terms and conditions must be provided.
The purpose of an opt-out incentive is to encourage individuals to decline participation in a program or service by providing them with a financial or non-financial benefit.
The information that must be reported on an opt-out incentive includes the amount or nature of the incentive, the target audience, and any relevant deadlines or restrictions.
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