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Long Term Care Insurance
State of Georgia
Flexible Benet's Program
Enrollment workbook
This booklet contains the information you'll want to know before
enrolling in the Long Term Care Insurance plan
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How to fill out flexible benets program

How to fill out flexible benets program
01
Obtain the flexible benefits program enrollment form.
02
Read the instructions provided with the form carefully.
03
Fill in your personal details, such as your name, address, and contact information.
04
Review the available benefit options and select the ones that best suit your needs.
05
Calculate and enter the desired coverage amounts for each selected benefit option.
06
If applicable, indicate any dependents or beneficiaries who may be eligible for coverage.
07
Double-check the form to ensure all information is accurate and complete.
08
Sign and date the form.
09
Submit the completed form to the designated authority or department.
10
Keep a copy of the form and any supporting documents for your records.
Who needs flexible benets program?
01
Any employee interested in customizing their benefits package according to their specific needs and preferences can benefit from a flexible benefits program. It allows individuals to choose from a range of benefit options and allocate their coverage amounts accordingly. This program is particularly useful for individuals with unique healthcare needs, dependents, or specific financial concerns.
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