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Get the free SISC FLEX Premium Only Plan (POP) Enrollment Form - sisc kern

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DISC FLEX PLAN Premium Only Plan (POP) Enrollment Form EMPLOYER: Employee Information (Please print clearly) First MI NAME: ADDRESS:Street Address or P.O. Blast City MI DATE OF BIRTH:SS#: StateZipPHONE:
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01
To fill out SISC Flex Premium Only, follow these steps:
02
Obtain the SISC Flex Premium Only form from your employer or insurance provider.
03
Provide your personal information, such as your name, date of birth, and social security number, as requested.
04
Fill out the section for selecting your desired coverage options. This may include choosing between individual or family coverage and specifying the amount of premiums you want to allocate.
05
Review the form for accuracy and completeness.
06
Sign the form and submit it to your employer or insurance provider as instructed.

Who needs sisc flex premium only?

01
SISC Flex Premium Only is ideal for individuals who are employed and wish to allocate a portion of their pre-tax income to pay for eligible health care expenses. It allows employees to conveniently cover medical, dental, and vision expenses through pre-tax deductions from their salary. Therefore, anyone enrolled in a qualifying employer-sponsored health insurance program can benefit from SISC Flex Premium Only.
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SISC Flex Premium Only refers to a flexible benefits plan offered by the Schools Insurance Solutions Cooperative, allowing employees to choose various benefit options, focusing primarily on premium payment for health insurance.
Employers participating in the SISC Flex program are required to file the SISC Flex Premium Only plan documentation and related information.
To fill out the SISC Flex Premium Only form, employers need to provide necessary employee information, specify the premium contributions, and designate which benefit plans the contributions apply to.
The purpose of SISC Flex Premium Only is to allow employees to pay their health insurance premiums with pre-tax dollars, thereby reducing taxable income and ultimately lowering tax liabilities.
The information that must be reported includes employee details, selected benefits, premium amounts, and any relevant deductions or contributions with respect to the flexible benefits plan.
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