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2021 GROUP BENEFIT ENROLLMENT & CHANGE FORM NONMEDICAL FOR ACTIVE EMPLOYEESComplete and submit this form to your employer to enroll or make changes in your and/or your dependent(s) WAIF benefits.
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How to fill out 2021 group benefit enrollment

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How to fill out 2021 group benefit enrollment

01
Step 1: Obtain the group benefit enrollment form for the year 2021 from your employer or HR department.
02
Step 2: Read the instructions provided on the form carefully to understand the required information and any deadlines.
03
Step 3: Gather all the necessary documentation such as your identification, Social Security number, and dependent information.
04
Step 4: Fill out the form accurately and legibly, providing all the required details such as your personal information, coverage options, and beneficiaries.
05
Step 5: Review your completed form to ensure all information is correct and complete.
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Step 6: Sign and date the form as required.
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Step 7: Submit the filled-out form to your employer or HR department within the specified timeframe, following any additional submission instructions provided.

Who needs 2021 group benefit enrollment?

01
Employees who are eligible for group benefits offered by their employer.
02
Individuals who want to enroll or make changes to their group benefit coverage for the year 2021.
03
Dependents of employees who require coverage under the group benefit plan.
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Group benefit enrollment refers to the process by which employees select and enroll in various benefit plans offered by their employer, such as health insurance, retirement plans, and other employee benefits.
Typically, employers who provide group benefits to their employees are required to file group benefit enrollment forms to ensure compliance with regulations and proper administration of the benefit plans.
To fill out group benefit enrollment, individuals typically need to provide personal information, select the desired benefits, include dependent information if applicable, and sign the form to confirm enrollment.
The purpose of group benefit enrollment is to allow employees to choose their benefits for the upcoming coverage period and to ensure that employers can accurately manage and report employee benefits.
Information that must be reported on group benefit enrollment typically includes employee personal details, benefit selections, dependent information, and any required certifications or declarations.
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