Get the free Annual Benefit Elected - wssd.k12.pa.us
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WEST SHORE SCHOOL DISTRICT
2019 FLEXIBLE SPENDING PLAN
COMPENSATION REDUCTION AGREEMENT
Participant Name
Address
City, State, Zip
Social Security Number
Date of Hire
Date of Birth
You are hereby authorized
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How to fill out annual benefit elected
How to fill out annual benefit elected
01
To fill out the annual benefit elected form, follow these steps:
02
Start by providing your personal information including your name, address, and contact details.
03
Next, specify the type of benefit you wish to elect. This could include health insurance, retirement plans, or any other benefits offered by your employer.
04
Indicate the coverage period for which you are making the benefit election. This is usually for one year.
05
If applicable, provide additional details for each benefit selected. For example, if you are choosing health insurance, you may need to specify the coverage level (individual, family, etc.) or the specific plan option.
06
Make sure to review all the information provided before submitting the form. Double-check for any errors or omissions.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form to the designated person or department according to your employer's instructions.
09
Keep a copy of the filled-out form for your records.
Who needs annual benefit elected?
01
Annual benefit elected is needed by employees who are eligible for benefits offered by their employer.
02
This could include full-time employees, part-time employees, contract workers, or any other individuals eligible for the benefits program.
03
It is important for individuals to make their benefit elections annually to ensure they receive the desired coverage and to make any necessary changes or updates to their benefit selections.
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