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Rogers State University Flexible Benefit Plan Enrollment Plan Year January 1, 2018, through December 31, 2018, Employee Name:SSN:Home Address: Street/Apt. Number Email Address Required for FSA notificationsWork

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How to fill out flexible benefit plan enrollment

01

Step 1: Review the available options for flexible benefit plans.

02

Step 2: Consider your current medical needs and anticipated expenses for the upcoming year.

03

Step 3: Determine the amount of pre-tax dollars you want to contribute towards the flexible benefit plan.

04

Step 4: Complete the enrollment form provided by your employer.

05

Step 5: Submit the enrollment form by the specified deadline.

06

Step 6: Keep a copy of the enrollment form for your records.

07

Step 7: Begin utilizing the flexible benefit plan according to the guidelines provided.

Who needs flexible benefit plan enrollment?

01

Employees who want to take advantage of pre-tax savings on eligible healthcare expenses.

02

Employees who have anticipated medical expenses and want to budget for them using pre-tax dollars.

03

Employees who want to have access to additional benefits such as dental, vision, or dependent care coverage.

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What is flexible benefit plan enrollment?

Flexible benefit plan enrollment is the process by which employees can choose from a menu of benefits options offered by their employer.

Who is required to file flexible benefit plan enrollment?

All eligible employees are required to file flexible benefit plan enrollment.

How to fill out flexible benefit plan enrollment?

Employees can fill out flexible benefit plan enrollment forms online or through a paper form provided by their employer.

What is the purpose of flexible benefit plan enrollment?

The purpose of flexible benefit plan enrollment is to allow employees to select the benefits options that best meet their individual needs.

What information must be reported on flexible benefit plan enrollment?

Employees must report their selected benefits options, dependent information, and any other required details on flexible benefit plan enrollment.

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