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JULY 1, 2017, PLAN YEARFlexible Benefit Plan Enrollment FormAdministered by BASIC pacific (formerly CBA) EMPLOYER:1Folsom Cordova Unified School Districts NAME:SSN:MAILING ADDRESSCITYDATE OF BIRTHDAY
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How to fill out flexible benefit plan enrollment
How to fill out flexible benefit plan enrollment
01
To fill out flexible benefit plan enrollment, follow these steps:
02
Step 1: Review the benefits offered by the plan
03
Step 2: Determine which benefits you need or want to enroll in
04
Step 3: Calculate the appropriate coverage amount or contribution for each benefit
05
Step 4: Obtain the necessary enrollment forms from your employer or benefits administrator
06
Step 5: Fill out the enrollment forms accurately and completely
07
Step 6: Provide any required supporting documentation, such as proof of dependent eligibility
08
Step 7: Submit the completed enrollment forms and supporting documents to your employer or benefits administrator by the specified deadline
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Step 8: Keep a copy of the filled-out forms and any receipts or confirmation of submission for your records
Who needs flexible benefit plan enrollment?
01
Flexible benefit plan enrollment is needed by employees or individuals who have the option to choose from a variety of employee benefits offered by their employer.
02
It allows individuals to customize their benefits package to meet their specific needs and preferences.
03
Employees who want to access health insurance, retirement plans, flexible spending accounts, life insurance, disability insurance, or any other benefits offered by their employer would need to enroll in a flexible benefit plan.
04
It offers flexibility and choice to employees in selecting the benefits that suit their unique circumstances and requirements.
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