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City of Idaho Falls Sec. 125 Cafeteria Plan Salary Reduction Agreement for 2018 2019 Plan Year Employee Name (Last, First, MI) Please Print Home Phone Number Employee Street Address City State Zip
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How to fill out 2018-2019 flex enrollment form

01
To fill out the 2018-2019 flex enrollment form, follow these steps:
02
Start by entering your personal information such as your name, address, and contact details.
03
Provide your employment details including the name of your employer, job title, and work schedule.
04
Indicate your desired flex options by selecting the appropriate checkboxes for each benefit or program.
05
If applicable, provide additional information for each flex option, such as the desired coverage amount or contribution percentage.
06
Review the completed form for any errors or missing information.
07
Sign and date the form to confirm your understanding and consent.
08
Submit the form to the designated department or authority as instructed.

Who needs 2018-2019 flex enrollment form?

01
The 2018-2019 flex enrollment form is needed by individuals who are eligible for flex benefits or programs provided by their employer.
02
These individuals may want to enroll in or make changes to their eligibility for flexible spending accounts, health savings accounts, dependent care assistance programs, or other similar benefits.
03
The form allows them to indicate their choices, coverage amounts, and contribution percentages for each flex option.
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Flex enrollment form is a document used to enroll in a flexible spending account (FSA) or other types of flexible benefit plans.
Employees who want to participate in a flexible benefit plan are required to file a flex enrollment form.
To fill out a flex enrollment form, employees need to provide their personal information, select the benefits they want to enroll in, and sign the form.
The purpose of flex enrollment form is to enroll employees in flexible benefit plans that allow them to set aside pre-tax dollars for certain expenses.
Information such as personal details, selected benefits, contribution amounts, and signature are typically reported on flex enrollment form.
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