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4.14 17 (11/10) My Choices Participant/Employer and Employee Agreement The employee agrees to the following: 1. I am employed by. (Print participants or authorized representatives name in the space
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Who Needs My Choices participantemployer and:

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Individuals participating in a particular program or event may need to provide their choices regarding participantemployer and.
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Your choices as a participant employer are the options and decisions you make as an employee or employer regarding retirement plans, health benefits, and other related matters.
Employers and employees are generally required to file their choices regarding retirement plans, health benefits, and other related matters.
You can fill out your choices by following the instructions provided by your employer or by consulting with a benefits specialist.
The purpose of your choices as a participant employer is to ensure that you are properly enrolled in retirement plans, health benefits, and other programs that suit your needs.
You must report your preferences for retirement plans, health benefits, and other related matters, as well as any personal information required by your employer.
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