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City and County of San Francisco Section 125 Cafeteria Plan Year January December 20179/8/2016TABLE OF CONTENTS Page INTRODUCTION ........................................................................................................................1
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How to fill out annual open enrollment election

How to fill out annual open enrollment election
01
Obtain the open enrollment election form from your employer.
02
Read the instructions on the form carefully.
03
Provide all the required personal information, such as your full name, employee ID, and contact details.
04
Review the available benefits options and select the ones that best suit your needs.
05
Determine the coverage levels for each benefit option you choose.
06
Fill in the form accurately and legibly, using black or blue ink.
07
Double-check all the information you entered for any errors or omissions.
08
Sign and date the form.
09
Submit the completed form to your employer within the specified enrollment period.
Who needs annual open enrollment election?
01
Annual open enrollment election is needed by employees who wish to make changes to their existing benefits or enroll in new benefits offered by their employer.
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What is annual open enrollment election?
Annual open enrollment election is the period during which eligible individuals can select or make changes to their benefits for the upcoming year.
Who is required to file annual open enrollment election?
Employees who are eligible for benefits and want to make changes to their current selections are required to file annual open enrollment election.
How to fill out annual open enrollment election?
Employees can fill out annual open enrollment election forms online through the company's benefits portal or by submitting paper forms to the HR department.
What is the purpose of annual open enrollment election?
The purpose of annual open enrollment election is to give employees the opportunity to review and adjust their benefit selections for the upcoming year based on their changing needs.
What information must be reported on annual open enrollment election?
Employees must report any changes to their healthcare coverage, dependent coverage, life insurance, and other benefit selections on the annual open enrollment election form.
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