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FLEXIBLE SPENDING ACCOUNT PLAN ENROLLMENT AND STATUS CHANGE Plan Year October 1, 2015, through September 30, 2016, Recheck one: NonRepresentedLast NameFirst NameMIEmployee ID NumberMailing AddressCityStateZip
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Who needs and status change?
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Anyone who is required to complete an application or process that involves filling out a form or document and undergoing a status change. This can include individuals applying for various permits or licenses, students applying for educational programs, employees undergoing job status changes, individuals seeking immigration or visa changes, etc.
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What is and status change?
A status change refers to any change in an individual's employment status that may affect their benefits or insurance coverage.
Who is required to file and status change?
Employees who experience a status change are typically required to notify their employer and update their information.
How to fill out and status change?
To fill out a status change, employees may need to complete a form provided by their employer or HR department.
What is the purpose of and status change?
The purpose of a status change is to ensure that an individual's benefits and coverage reflect their current employment situation.
What information must be reported on and status change?
Information such as changes in job title, salary, work hours, and marital status may need to be reported on a status change form.
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