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HA10610120State Health Benefits Program (SHIP)IF PTE/AFS CME EMPLOYEES STATE ACTIVE EMPLOYEE GROUPHEALTH BENEFITS ENROLLMENT and/or CHANGE FORM 1. EMPLOYEE INFORMATION Last NameFirstMIDIVISION USE
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Access the IFPTEAFSCMESTATE Active Employee Group form.
02
Start by entering your personal information. This may include your name, employee number, and contact details.
03
Next, proceed to fill out your employment details. Provide information about your current position, department, and any relevant dates.
04
Ensure you accurately enter your salary information. This should include your base salary, any additional income, and deductions.
05
If applicable, provide information about your dependents. This may include their names, relationship to you, and any relevant dates.
06
Review all the information you have entered to ensure accuracy. Make any necessary corrections.
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Once you are satisfied with the accuracy of your entries, electronically sign the form.
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Submit the form through the designated channel or to the appropriate party for processing.
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Keep a copy of the filled-out form for your records.

Who needs ifpteafscmestate active employee group?

01
Employees who are part of the IFPTEAFSCMESTATE active employee group need to fill out this form. It is necessary for maintaining accurate records and managing employment benefits and related matters.
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The ifpteafscmestate active employee group is a group of employees who are currently active members of IFPTEAFSCME union.
Employers who have employees that are members of the IFPTEAFSCME union are required to file the ifpteafscmestate active employee group.
The ifpteafscmestate active employee group must be filled out with information about each active member of the IFPTEAFSCME union, including their name, member ID, and employment status.
The purpose of the ifpteafscmestate active employee group is to ensure that all active members of the IFPTEAFSCME union are properly accounted for and represented.
The ifpteafscmestate active employee group should include information such as employee names, member IDs, job titles, and employment statuses.
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