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Pronuclear Codependent CARE/HEALTH CARE REIMBURSEMENT ACCOUNT PLANS ENROLLMENT AUTHORIZATIONPlease type or print clearly with ballpoint pen. Return completed form to campus Benefits Officer. SEE PRIVACY
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What is fill - flexcash enrollment?
Fill - flexcash enrollment is a program that allows eligible employees to receive additional cash benefits in lieu of enrolling in employer-sponsored health insurance plans.
Who is required to file fill - flexcash enrollment?
Employees who have alternative health coverage and choose not to enroll in their employer's health insurance plans are required to file fill - flexcash enrollment.
How to fill out fill - flexcash enrollment?
To fill out the fill - flexcash enrollment, employees must complete the designated forms provided by their employer, indicating their choice of opting out of health coverage and providing necessary information regarding their alternative coverage.
What is the purpose of fill - flexcash enrollment?
The purpose of fill - flexcash enrollment is to allow eligible employees to acknowledge their choice of not participating in employer-sponsored health plans while receiving a cash benefit that can help offset their personal health insurance costs.
What information must be reported on fill - flexcash enrollment?
The information that must be reported on fill - flexcash enrollment includes the employee's personal details, type of alternative health coverage, and a declaration of the decision to waive employer health insurance.
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